Individual provider Active NPI

Manuel Gigena, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1487834792
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
35.123545 Issued in OH
Practice address
20201 N Scottsdale Healthcare Dr Ste 120
Scottsdale, AZ 85255-4135
Phone
(480) 805-3052
Fax
(480) 805-2582
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 70065 AZ
Plastic and Reconstructive Surgery Physician 2086S0122X MD181033 OR
Plastic Surgery Physician 208200000X C199821 CA
Plastic and Reconstructive Surgery Physician 2086S0122X 35.123545 OH Primary
Surgery Physician 208600000X MD27893 OR

Addresses

Primary practice location

20201 N Scottsdale Healthcare Dr Ste 120
Scottsdale, AZ 85255-4135

Mailing address

20201 N Scottsdale Healthcare Dr Ste 120
Scottsdale, AZ 85255-4135
Phone (480) 805-3052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20071213000301 OR Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8022108166 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70065AZMDPlastic Surgery Physician
C199821CAMDPlastic Surgery Physician
MD27893ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Valley Clinics LLC Surgery CurrentSince Mar 11, 2017 Accepting new patients
Northwest Surgical Development of Fresno LLC PastSince Feb 23, 2025 Accepting new patients

Locations

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

2700 SE Stratus Ave
Unit 201
McMinnville, OR 97128
Phone (503) 435-6398

392 NE Norton Ln
McMinnville, OR 97128
Phone (503) 434-6060

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1487834792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554135",
            "telephone_number": "480-805-3052",
            "fax_number": "480-805-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554135",
            "telephone_number": "480-805-3052",
            "fax_number": "480-805-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGENA",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "70065",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD181033",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C199821",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35.123545",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD27893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.