Individual provider Active NPI

Tina M Pelopida, M.D.

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1336178417
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34703 Issued in AZ
Practice address
9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503
Phone
(602) 867-2690
Fax
(602) 404-1904
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34703 AZ Primary

Addresses

Primary practice location

9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503

Mailing address

9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503
Phone (602) 867-2690

Other identifiers 2

IdentifierTypeStateIssuer
AZ34703OtherAZLICENSE
104500MedicaidAZ

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
I20060914000666 AZ Practitioner - Obstetrics/Gynecology 7113921602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

9377 E Bell Rd
Suite 143
Scottsdale, AZ 85260-1503
Phone (602) 867-2690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34703AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Jan 1, 2024 Accepting new patients
Cornerstone Womens Care PC Obstetrics & Gynecology CurrentSince Aug 21, 2006 Accepting new patients
Honorhealth Past Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

15255 N 40th St
Ste 105
Phoenix, AZ 85032
Phone (602) 867-2690

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

9500 E Ironwood Square Dr
Ste 124
Scottsdale, AZ 85258
Phone (480) 767-0010

9377 E Bell Rd
Ste 143
Scottsdale, AZ 85260
Phone (480) 619-4097

Interoperability endpoints

  • Direct secure messaging: tina.pelopida.1@14294.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336178417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "602-867-2690",
            "fax_number": "602-404-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "602-867-2690",
            "fax_number": "602-404-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOPIDA",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "34703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AZ34703",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.