Mayo Clinic Arizona

Organization Active NPI Durable Medical Equipment & Medical Supplies · Scottsdale, AZ

NPI 1255302113 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1255302113
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MAYO CLINIC ARIZONA
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone
(480) 301-8000
NPI assigned
Jan 30, 2006
Organization subpart
No

Authorized official

Name
Jeffrey Jackson
Title
Cfo
Phone
(480) 574-3055

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1,618

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,618

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040210000553 AZ Part B Supplier - Ambulatory Surgical Center 7012829930 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ
O20040210000729 AZ Part B Supplier - Independent Clinical Laboratory 7012829930 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ
O20100930035330 AZ DME Supplier - Multi-Specialty - Physician 7012829930 Practice locations: Scottsdale, AZ

National Provider Directory

Locations

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5404

Mailing address

PO Box 1316
Minneapolis, MN 55480-1316
Phone (480) 301-8000

Other names

  • Mayo Clinic Scottsdale Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Scottsdale, AZ

All providers in Scottsdale, AZ · Durable Medical Equipment & Medical Supplies in Arizona

Sources for this page

Verify at the official NPI Registry.