Active NPI
Steven Cervi-Skinner, MD
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1619938032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26268
- Practice address
- 6644 E Baywood Ave
Mesa, AZ 85206-1747 - Phone
- (480) 981-4391
- Fax
- (480) 981-4624
- NPI assigned
- Mar 28, 2006
- Last updated
- May 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26268 | AZ | Primary |
Addresses
Primary practice location
6644 E Baywood Ave
Mesa, AZ 85206-1747
Mailing address
PO Box 708850
Sandy, UT 84070-8850
Phone (866) 869-2395
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42584405 | Medicaid | AZ | |
| 858463008 | Other | OR | BCBS-MEDFORD |
| 77130 | Other | ID | BCBS-NAMPA |
| 274895 | Medicaid | OR | |
| 838334004 | Other | OR | BCBS-ROSEBURG |
| B6148 | Other | ID | BCBS-CALDWELL |
| P00177938 | Other | OR | RR MEDICARE |
| R130958 | Other | OR | MEDICARE-TYPE UNSPECIFIED |
| 858464002 | Other | OR | BCBS-SPRINGFIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Idaho PC | Internal Medicine | Past | Accepting new patients |
| Ipn of Arizona, PLC | Internal Medicine | Past | Accepting new patients |
| Apogee Medical Group, Louisiana, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1518086651
-
- Specialist
- Scottsdale, AZ
- NPI 1932347903
-
dba Inpatient Physicians Network of Arizona
- Internal Medicine Physician
- Glendale, AZ
- NPI 1538119284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1619938032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708850",
"city": "SANDY",
"state": "UT",
"postal_code": "840708850",
"telephone_number": "866-869-2395",
"fax_number": "801-352-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061747",
"telephone_number": "480-981-4391",
"fax_number": "480-981-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVI-SKINNER",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "26268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42584405",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MEDFORD",
"identifier": "858463008",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-NAMPA",
"identifier": "77130",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274895",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-ROSEBURG",
"identifier": "838334004",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-CALDWELL",
"identifier": "B6148",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00177938",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-TYPE UNSPECIFIED",
"identifier": "R130958",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-SPRINGFIELD",
"identifier": "858464002",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.