Organization Active NPI

Scottsdale Center for Advanced Pain Management, PC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1467522987
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SCOTTSDALE CENTER FOR ADVANCED PAIN MANAGEMENT, PC
Practice address
9500 E. Ironwood Square Drive
Suite 125
Scottsdale, AZ 85258-4582
Phone
(480) 626-2552
Fax
(480) 626-2551
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Dr. Henry B Sanel, MDNPI 1811983349
Title
President
Phone
(480) 661-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9500 E. Ironwood Square Drive
Suite 125
Scottsdale, AZ 85258-4582

Mailing address

9500 E. Ironwood Square Drive
Suite 125
Scottsdale, AZ 85258-4582
Phone (602) 570-3169

Other practice location 1

20045 N. 19TH Avenue
BLDG 10, Suite 3
Phoenix, AZ 85027-4264
Phone (480) 626-2552

Other practice location 2

4838 E. Baseline Rd
BLDG 2, Suite 109
Mesa, AZ 85206-4671
Phone (480) 626-2552

Other identifiers 1

IdentifierTypeStateIssuer
399234MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040327000204 AZ Part B Supplier - Clinic/Group Practice 5597657130 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ; Mesa, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8502 E Via de Ventura
Ste 120
Scottsdale, AZ 85258
Phone (480) 632-8919

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1467522987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E. IRONWOOD SQUARE DRIVE",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "602-570-3169",
            "fax_number": "623-888-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E. IRONWOOD SQUARE DRIVE",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20045 N. 19TH AVENUE",
            "address_2": "BLDG 10, SUITE 3",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274264",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4838 E. BASELINE RD",
            "address_2": "BLDG 2, SUITE 109",
            "address_purpose": "LOCATION",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064671",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTTSDALE CENTER FOR ADVANCED PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "SANEL",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-661-8588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399234",
            "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 Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.