Individual provider Active NPI

Joel Peter Mascaro, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1396778932
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3250 Issued in AZ
Practice address
16100 N Greenway Hayden Loop
Suite G100
Scottsdale, AZ 85260-1652
Phone
(480) 337-4148
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3250 AZ Primary

Addresses

Primary practice location

16100 N Greenway Hayden Loop
Suite G100
Scottsdale, AZ 85260-1652

Mailing address

10882 E Fanfol LN
Scottsdale, AZ 85259-5705
Phone (480) 551-9911

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
I20071128000493 AZ Practitioner - Family Practice 4385733377

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11681 E Bella Vista Dr
Scottsdale, AZ 85259-6360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3250AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerity Enterprises, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joel.mascaro.1@23870.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1396778932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10882 E FANFOL LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595705",
            "telephone_number": "480-551-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 N GREENWAY HAYDEN LOOP",
            "address_2": "SUITE G100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601652",
            "telephone_number": "480-337-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARO",
        "first_name": "JOEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.