Active NPI
Anthony Polechetti, DO
- Emergency Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 011068
- Practice address
- 7400 E Osborn Rd
Scottsdale, AZ 85251-6432 - Phone
- (716) 474-4595
- NPI assigned
- Mar 15, 2019
- Last updated
- Jun 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 011068 | AZ | Primary |
Addresses
Primary practice location
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Mailing address
1610 E del Rio Dr
Tempe, AZ 85282-2749
Phone (716) 474-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200386365 | Other | NY | UNIVERA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5316 E Shea Blvd
Suite 150
Scottsdale, AZ 85254-4725
Phone (480) 534-4530
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (954) 939-5000
Hospital & facility affiliations
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Shea Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Emergency Medicine | Current | Accepting new patients |
| Western University of Health Sciences | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HonorHealth Contract Providers
- Surgery Physician
- Scottsdale, AZ
- NPI 1801092564
Emergency Medicine
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1083671432
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1023298551
-
dba WesternU Patient Care
- Adult Medicine Physician
- Lebanon, OR
- NPI 1639555170
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1528527900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 E DEL RIO DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822749",
"telephone_number": "716-474-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 E OSBORN RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516432",
"telephone_number": "716-474-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLECHETTI",
"first_name": "ANTHONY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "011068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "200386365",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Kelly Pokrywiecki, PA(ASCP)
- Kelly Anne Polak, NP
- Elyse Polanco, FNP-C
- Polaris Management Group LLC (Surgsys LLC)
- Michelle Lee Polchow, RN
- Polished Holdings Inc (Ageless Men's Health)
- Polished Holdings, Inc. (Poished The Dental Spa)
- Jennifer Dawn Polk, D.C.
- Shirley Henderson Polk, BSN-MSN-LPC
- Ekaterina N Pollard, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.