Organization Active NPI

Atlas Medical Systems, PLLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1396420758
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ATLAS MEDICAL SYSTEMS, PLLC
Doing business as
Atlas Medical Systems PLLC
Practice address
3320 N 3Rd Ave
Phoenix, AZ 85013-4304
Phone
(480) 588-3165
NPI assigned
Jun 21, 2023
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Atlas Medical
Title
Atlas Medical
Phone
(480) 588-3165

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3320 N 3Rd Ave
Phoenix, AZ 85013-4304

Mailing address

PO Box 32990
Phoenix, AZ 85064-2990
Phone (480) 588-3165

Other names 1

  • Atlas Medical Systems PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171214003221 AZ Part B Supplier - Clinic/Group Practice 6800154154 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Avondale, AZ; Phoenix, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1717 W Northern Ave
Ste 202
Phoenix, AZ 85021
Phone (480) 588-3165

127 Rue Louis Xiv
Ste 100
Lafayette, LA 70508
Phone (337) 237-7997

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1396420758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32990",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642990",
            "telephone_number": "480-588-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134304",
            "telephone_number": "480-588-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MEDICAL SYSTEMS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MEDICAL",
        "authorized_official_first_name": "ATLAS",
        "authorized_official_title_or_position": "ATLAS MEDICAL",
        "authorized_official_telephone_number": "480-588-3165"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Medical Systems PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Medical Systems PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.