Individual provider Active NPI

Scott B Lundgren, D.O.

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1225011315
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36786-21 Issued in WI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30066800MedicaidWI
402744MedicaidAZ
050081894OtherRAIL ROAD MEDICARE
1225011315MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050624000646 WI Practitioner - Anesthesiology 9638114689 Reassigns benefits to 2 organizations
I20180731002778 AZ Practitioner - Anesthesiology 9638114689 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

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

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Anesthesiology CurrentSince Aug 16, 2023 Accepting new patients
Midwest Physicians Anesthesia Service, SC Anesthesiology CurrentSince Jun 12, 2000 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Aurora Medical Group, Inc. Family Medicine Current Accepting new patients
Outpatient Surgical Center of Arizona, LLC CurrentSince May 1, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Nov 25, 2024 Accepting new patients
Brian F. Gruber, M.D., LTD CurrentSince Jul 6, 2022 Accepting new patients
Camelback Anesthesia PLLC CurrentSince Jul 7, 2018 Accepting new patients
Scott B. Lundgren, D.O., S.C. Anesthesiology PastSince May 11, 2000 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.