Individual provider Active NPI

J Tyler Enders, DO

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1376920942
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
009126 Issued in AZ
Practice address
10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536
Phone
(480) 697-4824
Fax
(480) 697-4825
NPI assigned
May 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101025644 MI
Orthopaedic Surgery Physician 207X00000X 009126 AZ Primary

Addresses

Primary practice location

10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536

Mailing address

10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824

Other practice location 1

2122 E Highland Ave Ste 300
Phoenix, AZ 85016-4744
Phone (602) 667-3113

Other names 1

  • J Tyler Enders Professional name

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
I20210813003018 AZ Practitioner - Orthopedic Surgery 1557607322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rocky Vista University College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Orthopedics LLCGroup PAC ID 7810365145, 12 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824

10290 N 92ND St
Suite 101
Scottsdale, AZ 85258-4508
Phone (480) 697-4824

13660 N 94TH Dr
Suite C4
Peoria, AZ 85381-4841
Phone (480) 697-4824

Hospital & facility affiliations

  • Arizona Home Care Home health agency, Tempe, AZ, CCN 037199
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)57
Upper limb (arm) arthroscopy (minimally invasive joint repair)50
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025644MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Az Orthopedics LLC Orthopaedic Surgery CurrentSince Jan 15, 2023 Accepting new patients
Az Orthopedics LLC Orthopaedic Surgery CurrentSince Jan 15, 2023 Accepting new patients

Locations

13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824

10200 N 92nd St
Ste 225
Scottsdale, AZ 85258
Phone (480) 391-3885

10290 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 697-4824

Organizations & group practices 2

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 4

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": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1376920942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584536",
            "telephone_number": "480-697-4824",
            "fax_number": "480-697-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584536",
            "telephone_number": "480-697-4824",
            "fax_number": "480-697-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164744",
            "country_code": "US",
            "telephone_number": "602-667-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "J TYLER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-02",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101025644",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "009126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "ENDERS",
            "middle_name": "TYLER",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.