Active NPI
Paul J Sos, MD
- Family Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34548
- Practice address
- 8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5483 - Phone
- (480) 496-2696
- Fax
- (480) 264-7012
- NPI assigned
- Feb 9, 2006
- Last updated
- Jun 30, 2020
- 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 | 34548 | AZ | Primary |
Addresses
Primary practice location
8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5483
Mailing address
8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5483
Phone (480) 496-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 965410 | Medicaid | AZ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5437
Phone (480) 496-2696
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 774 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34548 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optima Medical Care, LLC | Current | Accepting new patients |
Locations
485 S Dobson Rd
Ste 103
Chandler, AZ 85224
Phone (480) 963-2026
5505 W Chandler Blvd
Ste 11
Chandler, AZ 85226
Phone (480) 659-2571
9305 W Thomas Rd
Ste 490
Phoenix, AZ 85037
Phone (480) 496-2696
8575 E Princess Dr
Ste 117
Scottsdale, AZ 85255
Phone (480) 496-2696
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1235380007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1437122553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 E PRINCESS DR",
"address_2": "SUITE 117",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555483",
"telephone_number": "480-496-2696",
"fax_number": "480-264-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 E PRINCESS DR",
"address_2": "SUITE 117",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555483",
"telephone_number": "480-496-2696",
"fax_number": "480-264-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOS",
"first_name": "PAUL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "34548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "965410",
"state": "AZ"
}
],
"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 Jun 30, 2020; 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.