Individual provider Active NPI

Frederick Scott Imus, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
National Provider Identifier
1447400742
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0698 Issued in AZ
Practice address
9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779
Phone
(480) 407-6400
Fax
(480) 407-6520
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA0698 AZ Primary

Addresses

Primary practice location

9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779

Mailing address

17505 N 79TH Ave Ste 304a
Glendale, AZ 85308-8729
Phone (480) 407-6400

Other practice location 1

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000414 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355533324 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians
Pacific Sonoran Anesthesia LLCGroup PAC ID 4082989801, 10 clinicians

Practice addresses (Care Compare)

6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 795-6020

9815 N 95TH St
Scottsdale, AZ 85258-4546
Phone (800) 626-7054

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2025 Accepting new patients
Pacific Sonoran Anesthesia LLC CurrentSince Jun 1, 2018 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2025 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Pinnacle Pain & Spine Consultants, PLC Past Accepting new patients
East Valley Endoscopy LLC Past Accepting new patients
Pinnacle Injury Care, LLC PastSince Apr 25, 2021 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Mar 19, 2012 Accepting new patients
Professional Anesthesia Services LLC Past Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

17505 N 79th Ave
Ste 304E
Glendale, AZ 85308

17505 N 79th Ave
Ste 304A
Glendale, AZ 85308
Phone (480) 407-6402

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

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

5133 N Central Ave
Ste 100
Phoenix, AZ 85012
Phone (602) 279-0044

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

1615 Petroglyph Point Dr
Prescott, AZ 86301
Phone (928) 777-0200

9023 E Desert Cove Ave
Ste 101
Scottsdale, AZ 85260
Phone (480) 860-5000

9815 N 95th St
Scottsdale, AZ 85258
Phone (800) 626-7054

7566 N La Cholla Blvd
Ste B
Tucson, AZ 85741
Phone (520) 547-5845

7566 N La Cholla Blvd
Ste A
Tucson, AZ 85741
Phone (520) 547-5845

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

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

Interoperability endpoints

  • Direct secure messaging: frederickimus@asjh.medalliesdirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1447400742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 304A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088729",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 E DESERT COVE AVE STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606779",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442732",
            "country_code": "US",
            "telephone_number": "704-210-5661",
            "fax_number": "704-210-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMUS",
        "first_name": "FREDERICK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0698",
            "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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.