Active NPI
Alan Scott Andacht, M.D.
- Anesthesiology Physician
- Tempe, AZ
National Provider Identifier
1619956034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20838
- Practice address
- 2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612 - Phone
- (480) 425-2160
- Fax
- (480) 351-8797
- NPI assigned
- Jan 13, 2006
- 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 |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 20838 | AZ | |
| Anesthesiology Physician | 207L00000X | 20838 | AZ | Primary |
Addresses
Primary practice location
2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612
Mailing address
PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110544 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelback Anesthesia PLLC | Current | Accepting new patients | |
| Anesthesia Medical Professionals, PC | Past | Accepting new patients | |
| Banner Thunderbird Medical Center | Past | Accepting new patients |
Locations
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2421 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 832-3600
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Tempe, AZ
- NPI 1831560176
-
- Specialist
- Sun City West, AZ
- NPI 1801849500
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1619956034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41150",
"city": "MESA",
"state": "AZ",
"postal_code": "852741150",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 E SOUTHERN AVE STE 7",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827612",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDACHT",
"first_name": "ALAN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "AZ",
"license": "20838",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "20838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110544",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.