Active NPI
Melchiorra M Mangiaracina, D.O.
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1316271935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005983
- Practice address
- 3519 N 85TH St
Scottsdale, AZ 85251-5957 - Phone
- (407) 921-1703
- NPI assigned
- Sep 29, 2009
- Last updated
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 005983 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flow Rheumatology, PLLC | Current | Accepting new patients | |
| Natural Medicine and Detox Inc. | Current | 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.
-
- Rheumatology Physician
- Scottsdale, AZ
- NPI 1023633195
-
- Acupuncturist
- Phoenix, AZ
- NPI 1144853912
-
- Pain Medicine Physician
- Peoria, AZ
- NPI 1457035370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.