NPIMap

Organization Active NPI

East Valley Endocrinology, Diabetes & Metabolism, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Scottsdale, AZ
National Provider Identifier
1477674257
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
EAST VALLEY ENDOCRINOLOGY, DIABETES & METABOLISM, PC
Practice address
9700 N. 91St Street
B-220
Scottsdale, AZ 85258
Phone
(480) 323-4800
Fax
(480) 323-4949
NPI assigned
Apr 2, 2007
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Penny D Venuti
Title
Office Manager
Phone
(480) 664-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

9700 N. 91St Street
B-220
Scottsdale, AZ 85258

Mailing address

9500 E. Ironwood Square Drive
Suite 201
Scottsdale, AZ 85258
Phone (480) 664-8988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907001367 AZ Part B Supplier - Clinic/Group Practice 1850367236 Receives reassigned benefits from 9 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

9500 E Ironwood Square Dr
Ste 20
Scottsdale, AZ 85258

9500 E Ironwood Square Dr
Ste 200
Scottsdale, AZ 85258

9500 E Ironwood Square Dr
Ste 201
Scottsdale, AZ 85258
Phone (480) 323-4800

Dept 3472
Los Angeles, CA 90084

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBHBA

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1477674257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E. IRONWOOD SQUARE DRIVE",
            "address_2": "SUITE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-664-8988",
            "fax_number": "480-664-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N. 91ST STREET",
            "address_2": "B-220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-323-4800",
            "fax_number": "480-323-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY ENDOCRINOLOGY, DIABETES & METABOLISM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "VENUTI",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-664-8988"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "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 Jan 27, 2015; 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.