Individual provider Active NPI

William Craig Scibetta, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1285688689
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
42994 Issued in AZ
Practice address
7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336
Phone
(602) 234-1803
Fax
(602) 234-3748
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G83848 CA
Anesthesiology Physician 207L00000X 42994 AZ Primary

Addresses

Primary practice location

7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336

Mailing address

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (602) 234-1991

Other practice location 2

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090401000123 CA Practitioner - Anesthesiology 1557428810 Reassigns benefits to 1 organization
I20110606000046 AZ Practitioner - Anesthesiology 1557428810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pca AnesthesiaGroup PAC ID 1658675558, 54 clinicians

Practice addresses (Care Compare)

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone (602) 234-1803

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83848CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
Pca Anesthesia Anesthesiology CurrentSince Dec 1, 2015 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Dec 1, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Mar 23, 2021 Accepting new patients
Anesthesiology Consultants of Marin Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Mar 23, 2021 Accepting new patients
Anesthesia Care Associates Medical Group Inc Anesthesiology Past Accepting new patients
Sjhmc Physician Services Past Accepting new patients
District Medical Group, Inc Anesthesiology Past Accepting new patients

Locations

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1285688689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE",
            "address_2": "STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121351",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204336",
            "telephone_number": "602-234-1803",
            "fax_number": "602-234-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E SHEA BLVD",
            "address_purpose": "LOCATION",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "country_code": "US",
            "telephone_number": "602-234-1991",
            "fax_number": "602-234-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Bon Air Rd",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949041702",
            "country_code": "US",
            "telephone_number": "415-925-7100",
            "fax_number": "903-787-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIBETTA",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G83848",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "42994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.