Individual provider Active NPI

Anthony Polechetti, DO

  • Emergency Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1528527900
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
011068 Issued in AZ
Practice address
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone
(716) 474-4595
NPI assigned
Mar 15, 2019
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200386365OtherNYUNIVERA

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
I20240721000035 AZ Practitioner - Emergency Medicine 4183160609 Reassigns benefits to 3 organizations

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
HonorhealthGroup PAC ID 1456258607, 66 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Jun 9, 2024 Accepting new patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Jun 9, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Oct 19, 2024 Accepting new patients
Honorhealth CurrentSince Aug 1, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Honorhealth Emergency Medicine CurrentSince Aug 1, 2024 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.