Individual provider Active NPI

Allan M Wachter, MD

  • Allergy Physician
  • Phoenix, AZ
National Provider Identifier
1245270230
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
17145 Issued in AZ
Practice address
16611 S 40TH St Ste 170
Phoenix, AZ 85048-0565
Phone
(480) 785-8000
Fax
(480) 705-8129
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 17145 AZ
Allergy Physician 207KA0200X 17145 AZ Primary

Addresses

Primary practice location

16611 S 40TH St Ste 170
Phoenix, AZ 85048-0565

Mailing address

16611 S 40TH St Ste 170
Phoenix, AZ 85048-0565
Phone (480) 785-8000

Other identifiers 4

IdentifierTypeStateIssuer
1Z3872OtherAZHEALTH NET AZ
27995201MedicaidAZ
826036OtherAZAETNA
AZ0807640OtherAZBCBS

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
I20050928001412 AZ Practitioner - Allergy/Immunology 4183659139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Icahn School of Medicine at Mount Sinai, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16611 S 40TH St
Phoenix, AZ 85048-0565
Phone (480) 785-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allan M. Wachter, M.D., P.C. Allergy CurrentSince Jan 1, 1982 Accepting new patients

Locations

16611 S 40th St
Ste 170
Phoenix, AZ 85048
Phone (480) 705-8844

12020 S Warner Elliot Loop
Ste 124
Phoenix, AZ 85044
Phone (480) 326-6584

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1245270230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 S 40TH ST STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480565",
            "telephone_number": "480-785-8000",
            "fax_number": "480-705-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 S 40TH ST STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480565",
            "telephone_number": "480-785-8000",
            "fax_number": "480-705-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "ALLAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "AZ",
            "license": "17145",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "17145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET AZ",
            "identifier": "1Z3872",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27995201",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "826036",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0807640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.