Individual provider Active NPI

Melchiorra M Mangiaracina, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1316271935
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005983 Issued in AZ
Practice address
3519 N 85TH St
Scottsdale, AZ 85251-5957
Phone
(407) 921-1703
NPI assigned
Sep 29, 2009
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 005983 AZ Primary

Addresses

Primary practice location

3519 N 85TH St
Scottsdale, AZ 85251-5957

Mailing address

3519 N 85TH St
Scottsdale, AZ 85251-5957
Phone (407) 921-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 25, 2023 through Sep 25, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005983AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flow Rheumatology, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Natural Medicine and Detox Inc. CurrentSince Jan 26, 2021 Accepting new patients
Premier Pain & Wellness Past Accepting new patients

Locations

2701 N 7th St
Phoenix, AZ 85006
Phone (602) 279-5288

7425 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 285-2180

Organizations & group practices 3

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1316271935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 N 85TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515957",
            "telephone_number": "407-921-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 N 85TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515957",
            "telephone_number": "407-921-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIARACINA",
        "first_name": "MELCHIORRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.