Individual provider Active NPI

Christopher Smreczak, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1427684281
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9797 Issued in AZ
Practice address
20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Mar 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9797 AZ Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602

Mailing address

5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200406001984 IL Practitioner - Physician Assistant 6709215163 Reassigns benefits to 1 organization
I20230726000717 AZ Practitioner - Physician Assistant 6709215163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Pain Center of Arizona, PCGroup PAC ID 0749183325, 13 clinicians

Practice addresses (Care Compare)

3645 S Rome St
Suite 216
Gilbert, AZ 85297-7338
Phone (623) 516-8252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Center of Arizona PC CurrentSince Jul 5, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 2, 2020 Accepting new patients
The Pain Center of Arizona, PC CurrentSince Jul 5, 2023 Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients

Locations

825 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (602) 492-9919

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 478-5512

5281 N 99th Ave
Ste 100
Glendale, AZ 85305
Phone (623) 241-6152

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6153

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

3811 E Bell Rd
Ste 100
Phoenix, AZ 85032
Phone (602) 923-5546

9250 W Thomas Rd
Ste 200
Phoenix, AZ 85037

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

21321 E Ocotillo Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 245-6288

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Organizations & group practices 5

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1427684281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273602",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMRECZAK",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.