Individual provider Active NPI

Sean Cleymaet, MD

  • Neurocritical Care Physician
  • Phoenix, AZ
National Provider Identifier
1386173425
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
73100 Issued in AZ
Practice address
111 E Dunlap Ave Ste I279
Phoenix, AZ 85020-2807
Phone
(480) 331-6721
Fax
(602) 296-7738
NPI assigned
Jun 11, 2017
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 73100 AZ
Neurological Surgery Physician 207T00000X 73100 AZ
Neurology Physician 2084N0400X 73100 AZ
Vascular Neurology Physician 2084V0102X 73100 AZ
Neurocritical Care Physician 2084A2900X 73100 AZ Primary

Addresses

Primary practice location

111 E Dunlap Ave Ste I279
Phoenix, AZ 85020-2807

Mailing address

111 E Dunlap Ave Ste I279
Phoenix, AZ 85020-2807
Phone (480) 331-6721

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
I20240814002666 AZ Practitioner - NeurologyPractitioner - Hospitalist 3971903436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurocritical Care and Stroke of Arizona PLLCGroup PAC ID 0143493882, 5 clinicians

Practice addresses (Care Compare)

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (480) 331-6721

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocritical Care and Stroke of Arizona PLLC Critical Care Medicine CurrentSince Sep 9, 2024 Accepting new patients

Locations

111 E Dunlap Ave
Ste 1279
Phoenix, AZ 85020
Phone (480) 331-6721

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1386173425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE STE I279",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202807",
            "telephone_number": "480-331-6721",
            "fax_number": "602-296-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE STE I279",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202807",
            "telephone_number": "480-331-6721",
            "fax_number": "602-296-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEYMAET",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-11",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "73100",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "73100",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "73100",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "AZ",
            "license": "73100",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "AZ",
            "license": "73100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.