Individual provider Active NPI

Mark Adelman, P.A.

  • Medical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1255370409
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1501 Issued in AZ
Practice address
7436 E Main St
Ste 2
Mesa, AZ 85207-8338
Phone
(480) 983-5111
Fax
(480) 982-4686
NPI assigned
Jun 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1501 AZ Primary

Addresses

Primary practice location

7436 E Main St
Ste 2
Mesa, AZ 85207-8338

Mailing address

2224 W Catalina Ave
Mesa, AZ 85202-2627
Phone (480) 898-1596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1501AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Technologies, LLC Past Accepting new patients
Squaw Peak Anesthesia Inc Past Accepting new patients
Mesa General Emergency Physicians, LLC Past Accepting new patients
Team Physicians of Arizona PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255370409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 W CATALINA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852022627",
            "telephone_number": "480-898-1596",
            "fax_number": "480-898-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7436 E MAIN ST",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078338",
            "telephone_number": "480-983-5111",
            "fax_number": "480-982-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.