Individual provider Active NPI

Marissa Ciaramitaro, PA

  • Allergy & Immunology Physician
  • Chandler, AZ
National Provider Identifier
1265990394
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
7423 Issued in AZ
Practice address
705 S Dobson Rd
Chandler, AZ 85224-5657
Phone
(480) 897-6992
Fax
(480) 839-1874
NPI assigned
Mar 7, 2019
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 7423 AZ Primary

Addresses

Primary practice location

705 S Dobson Rd
Chandler, AZ 85224-5657

Mailing address

705 S Dobson Rd
Chandler, AZ 85224-5657
Phone (480) 897-6992

Other practice location 1

36245 N Gantzel Rd Bldg 6
San Tan Valley, AZ 85140-7315
Phone (480) 897-6992

Other practice location 2

348 E Virginia Ave
Phoenix, AZ 85004-1208
Phone (480) 897-6992

Other practice location 3

8140 E Cactus Rd Ste 710
Scottsdale, AZ 85260-5267
Phone (480) 897-6992

Other practice location 4

4852 E Baseline Rd Ste 101
Mesa, AZ 85206-4628
Phone (480) 897-6992

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410000089 AZ Practitioner - Physician Assistant 4688915135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Allergy Asthma and Immunology Consultants PLCGroup PAC ID 6002879194, 11 clinicians

Practice addresses (Care Compare)

36245 N Gantzel Rd
BLDG 6
San Tan Valley, AZ 85140-7315
Phone (480) 897-6992

4852 E Baseline Rd
Suite 101
Mesa, AZ 85206-4628
Phone (480) 897-6992

705 S Dobson Rd
Chandler, AZ 85224-5657
Phone (480) 897-6992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7423AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Allergy PLLC Allergy & Immunology PastSince Feb 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marissa.ciaramitaro@aza.eclinicaldirectplus.com

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, 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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1265990394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-897-6992",
            "fax_number": "480-839-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-897-6992",
            "fax_number": "480-839-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36245 N Gantzel Rd Bldg 6",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407315",
            "country_code": "US",
            "telephone_number": "480-897-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "348 E Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041208",
            "country_code": "US",
            "telephone_number": "480-897-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 E Cactus Rd Ste 710",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852605267",
            "country_code": "US",
            "telephone_number": "480-897-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4852 E Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064628",
            "country_code": "US",
            "telephone_number": "480-897-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIARAMITARO",
        "first_name": "MARISSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "7423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.