Individual provider Active NPI

Patrick James Roscetti, MD

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1295911030
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42041 Issued in AZ
Practice address
13991 W. Grand Ave, Suite 105
Surprise, AZ 85374
Phone
(623) 455-7800
Fax
(623) 455-7840
NPI assigned
Jan 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 81723 AZ
Family Medicine Physician 207Q00000X 42041 AZ Primary

Addresses

Primary practice location

13991 W. Grand Ave, Suite 105
Surprise, AZ 85374

Mailing address

25500 N. Norterra Parkway, BLDG. B
Phoenix, AZ 85085
Phone (623) 277-1000

Other identifiers 1

IdentifierTypeStateIssuer
81723OtherAZTRAINING PERMIT

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
I20091002000461 AZ Practitioner - Family Practice 4688710783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

9327 N 3Rd St
Suite 100
Phoenix, AZ 85020-2471
Phone (602) 371-3100

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81723AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jun 1, 2016 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jul 12, 2010 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jul 12, 2010 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Scottsdale Healthcare Corp Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Nextcare Arizona LLC CurrentSince Aug 4, 2009 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Past Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations (25 of 32)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

21681 N 77th Ave
Ste 1410
Peoria, AZ 85382
Phone (623) 312-2265

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

10230 W Happy Valley Pkwy
Ste 200
Peoria, AZ 85383
Phone (480) 882-7465

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

710 W Bell Rd
Phoenix, AZ 85023
Phone (602) 588-3710

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

7236 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-5565

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

Interoperability endpoints

  • Direct secure messaging: proscetti90461@direct.honorhealth.com

Organizations & group practices 18

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.

View all 18

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1295911030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N. NORTERRA PARKWAY, BLDG. B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-277-1000",
            "fax_number": "623-876-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13991 W. GRAND AVE, SUITE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-455-7800",
            "fax_number": "623-455-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCETTI",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "81723",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "81723",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.