Individual provider Active NPI

Julie A Wendt, MD

  • Allergy Physician
  • Scottsdale, AZ
National Provider Identifier
1497738314
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
44006 Issued in AZ
Practice address
21803 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85255-7438
Phone
(480) 500-1902
Fax
(480) 500-1909
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 44006 AZ Primary

Addresses

Primary practice location

21803 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85255-7438

Mailing address

PO Box 28634
Scottsdale, AZ 85255-0160
Phone (480) 500-1902

Other identifiers 1

IdentifierTypeStateIssuer
668338MedicaidAZ

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
I20120214000205 AZ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7618991126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21803 N Scottsdale Rd
Suite 200
Scottsdale, AZ 85255-7446
Phone (480) 500-1902

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a Wendt MD PLLC Allergy CurrentSince Aug 1, 2013 Accepting new patients
Allergy, Asthma & Immunology Associates LTD PastSince May 1, 2004 Accepting new patients

Locations

21803 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85255
Phone (480) 473-7003

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18038/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEEIAD/Endpoint/CEEIAD

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1497738314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28634",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550160",
            "telephone_number": "480-500-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD",
            "address_2": "STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557438",
            "telephone_number": "480-500-1902",
            "fax_number": "480-500-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "44006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "668338",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.