Active NPI
Joel Peter Mascaro, D.O.
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1396778932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3250
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3250 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerity Enterprises, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1063682524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.