Individual provider Active NPI

Daniel Scott Eads, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mesa, AZ
National Provider Identifier
1376804203
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
55508 Issued in AZ
Practice address
1830 S Alma School Rd Ste 108
Mesa, AZ 85210-3086
Phone
(480) 248-3000
Fax
(480) 248-3050
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X LL34744 SC
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 55508 AZ Primary

Addresses

Primary practice location

1830 S Alma School Rd Ste 108
Mesa, AZ 85210-3086

Mailing address

1830 S Alma School Rd
Ste 108
Mesa, AZ 85210-3086
Phone (480) 248-3070

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
I20180613000288 AZ Practitioner - Thoracic Surgery 5991927774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 300
Scottsdale, AZ 85258-4525
Phone (480) 882-7750

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)50
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55508AZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp Single Specialty CurrentSince Jun 17, 2024 Accepting new patients
Honorhealth Ambulatory Single Specialty Current Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 17, 2024 Accepting new patients
Honorhealth Ambulatory Single Specialty Past Accepting new patients

Locations

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10210 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 882-7750

Interoperability endpoints

  • Direct secure messaging: dreads@wctsaz.ssdirect.aprima.com
  • Direct secure messaging: deads578297@direct.honorhealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1376804203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103086",
            "telephone_number": "480-248-3070",
            "fax_number": "480-248-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103086",
            "telephone_number": "480-248-3000",
            "fax_number": "480-248-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "LL34744",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "55508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.