Individual provider Active NPI

Marcia L Sistek, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1477543486
Registry record updated Mar 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22864 Issued in AZ
Practice address
9755 N 90TH St
Suite C-200
Scottsdale, AZ 85258-5046
Phone
(480) 661-1755
Fax
(480) 661-9636
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22864 AZ Primary

Addresses

Primary practice location

9755 N 90TH St
Suite C-200
Scottsdale, AZ 85258-5046

Mailing address

9755 N 90TH St
Suite C-200
Scottsdale, AZ 85258-5046
Phone (480) 661-1755

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000151 AZ Practitioner - Family Practice 3274550157 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9755 N 90TH St
Suite C200
Scottsdale, AZ 85258-5048
Phone (480) 661-1755

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22864AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Family Physicians PLLC Family Medicine CurrentSince May 5, 2011 Accepting new patients

Locations

9755 N 90th St
Ste C200
Scottsdale, AZ 85258
Phone (480) 391-8989

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.

Hospital & facility affiliations 2

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457136000000",
    "number": "1477543486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "SUITE C-200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-661-1755",
            "fax_number": "480-661-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "SUITE C-200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-661-1755",
            "fax_number": "480-661-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTEK",
        "first_name": "MARCIA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2016-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "22864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.