Active NPI
Darek Sott, DO
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1699759928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4430
- Practice address
- 4530 E Muirwood Dr
#105
Phoenix, AZ 85048-7639 - Phone
- (480) 961-2303
- Fax
- (480) 961-2306
- NPI assigned
- Nov 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 3655 | AZ | |
| Internal Medicine Physician | 207R00000X | 4430 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr
#105
Phoenix, AZ 85048-7639
Mailing address
4530 E Muirwood Dr
#105
Phoenix, AZ 85048-7639
Phone (480) 961-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581836 | Medicaid | AZ |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4430 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1699759928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "#105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "#105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTT",
"first_name": "DAREK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "3655",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "4430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "581836",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.