Individual provider Active NPI

Anne-Marie I Cosijns, M.D.

  • Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1669468658
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
23135 Issued in AZ
Practice address
9500 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4582
Phone
(480) 626-2552
Fax
(480) 626-2551
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 23135 AZ
Pain Medicine Physician 208VP0000X 23135 AZ Primary

Addresses

Primary practice location

9500 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4582

Mailing address

9500 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4582
Phone (480) 626-2552

Other identifiers 1

IdentifierTypeStateIssuer
321513MedicaidAZ

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
I20050305000049 AZ Practitioner - Interventional Pain ManagementPractitioner - Emergency Medicine 9133173834 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Consultants, LLC Pain Medicine PastSince May 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1669468658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSIJNS",
        "first_name": "ANNE-MARIE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "23135",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "23135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321513",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.