Organization Active NPI

La Andres, MD PLLC

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1649553975
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
40126 Issued in AZ
Legal business name
LA ANDRES, MD PLLC
Practice address
8595 E Bell Rd Ste 103
Scottsdale, AZ 85260-1306
Phone
(480) 275-7800
Fax
(480) 758-4587
NPI assigned
Sep 22, 2011
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Lewis Albert Andres, M.D.NPI 1902929508
Title
Member
Phone
(480) 275-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 40126 AZ Primary

Addresses

Primary practice location

8595 E Bell Rd Ste 103
Scottsdale, AZ 85260-1306

Mailing address

PO Box 15040
Scottsdale, AZ 85267-5040
Phone (480) 275-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000517 AZ Part B Supplier - Clinic/Group Practice 6406023373 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1649553975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675040",
            "telephone_number": "480-275-7800",
            "fax_number": "480-758-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 E BELL RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601306",
            "telephone_number": "480-275-7800",
            "fax_number": "480-758-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA ANDRES, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-275-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "40126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.