Individual provider Active NPI

Grant Schafer, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
National Provider Identifier
1194933895
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
6627 Issued in KS
Practice address
9150 W Indian School Rd Ste 122
Phoenix, AZ 85037-2387
Phone
(623) 889-0100
Fax
(623) 889-0101
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 6627 KS Primary

Addresses

Primary practice location

9150 W Indian School Rd Ste 122
Phoenix, AZ 85037-2387

Mailing address

9150 W Indian School Rd
Ste 122
Phoenix, AZ 85037-2387

Other identifiers 1

IdentifierTypeStateIssuer
643588MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000200 AZ Practitioner - Pathology 9638342892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Kansas City University of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pathology Services, PLLCGroup PAC ID 4688763493, 2 clinicians

Practice addresses (Care Compare)

9150 W Indian School Rd
Suite 122
Phoenix, AZ 85037-2387
Phone (623) 889-0100

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as group
Quality
15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6627KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pathology Services, PLLC CurrentSince Aug 22, 2011 Accepting new patients
Arthur Sitelman M.D., P.C. Anatomic Pathology & Clinical Pathology CurrentSince Mar 20, 2022 Accepting new patients

Locations

9150 W Indian School Rd
Ste 122
Phoenix, AZ 85037
Phone (623) 889-0100

1235 Menomonie St
Ste B
Eau Claire, WI 54703

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1194933895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD",
            "address_2": "STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372387",
            "telephone_number": "623-889-0100",
            "fax_number": "623-889-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "GRANT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "6627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643588",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.