Active NPI
Allan M Wachter, MD
- Allergy Physician
- Phoenix, AZ
National Provider Identifier
1245270230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 17145
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z3872 | Other | AZ | HEALTH NET AZ |
| 27995201 | Medicaid | AZ | |
| 826036 | Other | AZ | AETNA |
| AZ0807640 | Other | AZ | BCBS |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allan M. Wachter, M.D., P.C. | Allergy | Current | 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.
-
- Allergy Physician
- Phoenix, AZ
- NPI 1972559086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.