Organization Active NPI

Mca Medical, PLLC

Doing business as MCA Wound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1235776204
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
MCA MEDICAL, PLLC
Doing business as
MCA Medical, PLLC
MCA Wound Care
Practice address
20033 N 19TH Ave Ste 100
Phoenix, AZ 85027-4247
Phone
(480) 257-1950
Fax
(713) 510-1548
NPI assigned
Dec 9, 2019
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Bernadine Moira Sykstus, MHA, CPCO, CPMA, RRT
Title
Compliance Officer
Phone
(713) 301-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X NU Primary

Addresses

Primary practice location

20033 N 19TH Ave Ste 100
Phoenix, AZ 85027-4247

Mailing address

PO Box 9080
Surprise, AZ 85374-0134
Phone (623) 974-6611

Other practice location 1

14955 W Bell Rd Unit 9080
Surprise, AZ 85374-8285
Phone (623) 628-9349

Other names 2

  • MCA Medical, PLLC Doing business as
  • MCA Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200221001483 AZ Part B Supplier - Clinic/Group Practice 7012344583 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City West, AZ; Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

14955 W Bell Rd
Unit 9080
Surprise, AZ 85374
Phone (623) 628-9349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1235776204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9080",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740134",
            "telephone_number": "623-974-6611",
            "fax_number": "623-974-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20033 N 19TH AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274247",
            "telephone_number": "480-257-1950",
            "fax_number": "713-510-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14955 W Bell Rd Unit 9080",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748285",
            "country_code": "US",
            "telephone_number": "623-628-9349",
            "fax_number": "623-691-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "SYKSTUS",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_middle_name": "MOIRA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "713-301-5707",
        "authorized_official_credential": "MHA, CPCO, CPMA, RRT"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCA Medical, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCA Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.