Alan J Andresen, M.D.
Individual provider Active NPI Family Medicine Physician · Tempe, AZ
NPI 1316908700 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1316908700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19454 (AZ)
- Practice address
- 451 E University Dr
Tempe, AZ 85281-2000 - Phone
- (480) 965-3346
- Fax
- (480) 965-8914
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Internal Medicine of Arizona PC
Practice addresses (Care Compare)
4840 E Indian School Rd
Suite 101
Phoenix, AZ 85018-5500
Phone (602) 522-1900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090320000140 | AZ | Practitioner - Family Practice | 0941367841 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19454 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of Arizona PC | Current |
Accepting new patients | |
| Banner Sun City Medical Group | Past | Accepting new patients |
Locations
4840 E Indian School Rd
Ste 101
Phoenix, AZ 85018
Phone (602) 224-1900
3333 E Camelback Rd
Ste 122
Phoenix, AZ 85018
Phone (602) 522-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19454 | AZ | Yes |
Addresses
Primary practice location
451 E University Dr
Tempe, AZ 85281-2000
Mailing address
3333 E Camelback Rd
Ste 122
Phoenix, AZ 85018-2323
Phone (602) 522-1900
Other providers in Tempe, AZ
- Roxie Anderson
- Sarah Elizabeth Anderson
- Susan Anderson
- Susan Valerie Anderson
- Andreas Xagoraris MD PLLC
- John Jacob Andreson
- Andrew B Mangum MD PLLC
- Latricia Andrews-Gilman
- Brienne Andrews
- Callie Yan Andrews
All providers in Tempe, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.