NPIMap

Individual provider Active NPI

Eugenia G. Politis, M.D.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1174751739
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
48094 Issued in AZ
Practice address
500 W Thomas Rd
Suite 480
Phoenix, AZ 85013-4224
Phone
(602) 264-1771
Fax
(602) 264-1661
NPI assigned
Jun 23, 2009
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 48094 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd
Suite 480
Phoenix, AZ 85013-4224

Mailing address

500 W Thomas Rd
Suite 480
Phoenix, AZ 85013-4224
Phone (602) 264-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000218 MI Practitioner - Obstetrics/Gynecology 3375873615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

818 W King St LL
Memorial Healthcare OB/GYN
Owosso, MI 48867-2116
Phone (989) 729-4292

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48094AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Medicine Current Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Memorial Hospital Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Memorial Hospital Past Accepting new patients
Sjhmc Physician Services PastSince Jul 1, 2013 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

818 W King St
Ste Ll
Owosso, MI 48867
Phone (989) 729-4292

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: epolitis@scsobgyn.gwaydirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1174751739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "SUITE 480",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134224",
            "telephone_number": "602-264-1771",
            "fax_number": "602-264-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "SUITE 480",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134224",
            "telephone_number": "602-264-1771",
            "fax_number": "602-264-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "EUGENIA",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "48094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.