Individual provider Active NPI

Arthur Sitelman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
National Provider Identifier
1265595326
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
16845 Issued in AZ
Practice address
9150 W Indian School Rd Ste 122
Phoenix, AZ 85037-2387
Phone
(623) 889-0100
Fax
(623) 889-0101
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 16845 AZ Primary

Addresses

Primary practice location

9150 W Indian School Rd Ste 122
Phoenix, AZ 85037-2387

Mailing address

9150 W Indian School Rd
Ste 122
Phoenix, AZ 85037-2387
Phone (602) 942-6166

Other identifiers 3

IdentifierTypeStateIssuer
220028181OtherAZRR MEDICARE
26751901MedicaidAZ
AZ0252440OtherAZBLUE CROSS

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
I20071113000753 AZ Practitioner - Pathology 4688560097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pathology Services, PLLCGroup PAC ID 4688763493, 2 clinicians

Practice addresses (Care Compare)

9150 W Indian School Rd
Suite 122
Phoenix, AZ 85037-2387
Phone (623) 889-0100

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as group
Quality
15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16845AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pathology Services, PLLC CurrentSince Jun 1, 2007 Accepting new patients
Diagnostic Pathology Consultants, PC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

9150 W Indian School Rd
Ste 122
Phoenix, AZ 85037
Phone (623) 889-0100

1235 Menomonie St
Ste B
Eau Claire, WI 54703

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1265595326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD",
            "address_2": "STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372387",
            "telephone_number": "602-942-6166",
            "fax_number": "602-942-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372387",
            "telephone_number": "623-889-0100",
            "fax_number": "623-889-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITELMAN",
        "first_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "16845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "220028181",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26751901",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0252440",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.