Active NPI
Scott B Lundgren, D.O.
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 36786-21
- Practice address
- 13215 N 7TH St Ste 100
Phoenix, AZ 85022-5300 - Phone
- (602) 805-5041
- Fax
- (602) 805-5013
- NPI assigned
- Nov 22, 2005
- Last updated
- Oct 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 007093 | AZ | |
| Anesthesiology Physician | 207L00000X | 36786-21 | WI | Primary |
Addresses
Primary practice location
13215 N 7TH St Ste 100
Phoenix, AZ 85022-5300
Mailing address
13215 N 7TH St Ste 100
Phoenix, AZ 85022-5300
Phone (602) 805-5041
Other practice location 1
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-2273
Other practice location 2
807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-3222
Other practice location 3
1610 S White Mountain Rd
Show Low, AZ 85901-7106
Phone (928) 537-3937
Other practice location 4
101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
Other practice location 5
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000
Other practice location 6
2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273
Other practice location 7
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30066800 | Medicaid | WI | |
| 402744 | Medicaid | AZ | |
| 050081894 | Other | RAIL ROAD MEDICARE | |
| 1225011315 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700
W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Anesthesiology | Current | Accepting new patients |
| Midwest Physicians Anesthesia Service, SC | Anesthesiology | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Outpatient Surgical Center of Arizona, LLC | Current | Accepting new patients | |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Anesthesiology | Current | Accepting new patients |
| Brian F. Gruber, M.D., LTD | Current | Accepting new patients | |
| Camelback Anesthesia PLLC | Current | Accepting new patients | |
| Scott B. Lundgren, D.O., S.C. | Anesthesiology | Past | Accepting new patients |
Locations
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
13215 N 7th St
Ste 100
Phoenix, AZ 85022
Phone (602) 734-1828
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
17300 N Perimeter Dr
Ste 150
Scottsdale, AZ 85255
Phone (602) 734-1826
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
2421 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 832-3600
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
Bin 88871
Milwaukee, WI 53288
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- slundgren347057@direct.froedtert.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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Anesthesiology
-
dba Integrated Orthopedics of Arizona
- Sports Medicine (Orthopaedic Surgery) Physician
- Scottsdale, AZ
- NPI 1700284791
-
dba Camelback Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Tempe, AZ
- NPI 1831560176
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1457955593
-
- Pain Medicine (Anesthesiology) Physician
- Kenosha, WI
- NPI 1992752547
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Pain Medicine (Anesthesiology) Physician
- Kenosha, WI
- NPI 1275586653
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
dba Froedtert Menomonee Falls Hospital
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1225011315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 N 7TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225300",
"telephone_number": "602-805-5041",
"fax_number": "602-805-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13215 N 7TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225300",
"telephone_number": "602-805-5041",
"fax_number": "602-805-5013"
}
],
"practiceLocations": [
{
"address_1": "5330 S Highway 95",
"address_purpose": "LOCATION",
"city": "Fort Mohave",
"state": "AZ",
"postal_code": "864269225",
"country_code": "US",
"telephone_number": "928-788-2273",
"fax_number": "706-653-4449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "807 S Ponderosa St",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415542",
"country_code": "US",
"telephone_number": "928-471-3222",
"fax_number": "706-653-4449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1610 S White Mountain Rd",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "859017106",
"country_code": "US",
"telephone_number": "928-537-3937",
"fax_number": "706-653-4449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Civic Center Ln",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864035607",
"country_code": "US",
"telephone_number": "928-855-8185",
"fax_number": "706-653-4449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 W Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532154330",
"country_code": "US",
"telephone_number": "414-649-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2735 Silver Creek Rd",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "864427924",
"country_code": "US",
"telephone_number": "928-763-2273",
"fax_number": "706-653-4449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5700 E Highway 90",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856359110",
"country_code": "US",
"telephone_number": "520-263-2000",
"fax_number": "706-653-4449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNDGREN",
"first_name": "SCOTT",
"middle_name": "B",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "007093",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "36786-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30066800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402744",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "050081894",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225011315",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.