Individual provider Active NPI

Dan M Chapel, M.D.

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1205806262
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
19533 Issued in AZ
Practice address
4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone
(602) 264-4834
Fax
(602) 254-5178
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 19533 AZ Primary

Addresses

Primary practice location

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042

Mailing address

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

Other practice location 1

5750 W Thunderbird Rd Ste A100
Glendale, AZ 85306-4661
Phone (602) 938-3205

Other identifiers 3

IdentifierTypeStateIssuer
AZ0819130OtherAZBC/BS PROVIDER ID
296287MedicaidAZ
799702MedicaidAZ

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
I20100826001007 AZ Practitioner - Otolaryngology 6901920065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Otolaryngology Consultants, PCGroup PAC ID 5294621868, 22 clinicians

Practice addresses (Care Compare)

5750 W Thunderbird Rd
Suite A100
Glendale, AZ 85306-4661
Phone (602) 938-3205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19533AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Otolaryngology Consultants, PC CurrentSince Mar 16, 1998 Accepting new patients

Locations

5750 W Thunderbird Rd
Ste A100
Glendale, AZ 85306
Phone (602) 938-3205

333 E Virginia Ave
Ste 101
Phoenix, AZ 85004
Phone (602) 257-4219

4530 E Shea Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 264-4834

2222 E Highland Ave
Ste 204
Phoenix, AZ 85016
Phone (602) 264-4834

Interoperability endpoints

  • Direct secure messaging: dan.chapel.1@24142.direct.athenahealth.com

Organizations & group practices 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1205806262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 W Thunderbird Rd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064661",
            "country_code": "US",
            "telephone_number": "602-938-3205",
            "fax_number": "602-938-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPEL",
        "first_name": "DAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "19533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "AZ0819130",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296287",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799702",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.