Stanley Babu, M.D.

Individual provider Active NPI Family Medicine Physician · Scottsdale, AZ

NPI 1700935525 · NPPES record last updated Oct 3, 2022

Key facts

NPI
1700935525
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
60127 (AZ)
Practice address
9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583
Phone
(480) 455-3000
Fax
(860) 819-6115
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Health Services PLLC (5 clinicians)

Practice addresses (Care Compare)

4040 E Camelback Rd
Suite 155a
Phoenix, AZ 85018-8349
Phone (602) 806-7575

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200717001052 AZ Practitioner - Family Practice 6507906807 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239401MAMDPharmacist
60127AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Health Services PLLC Current
since Feb 6, 2024
Accepting new patients
Skilled Facility Health Care Solutions Inc. Current Accepting new patients
4C Medical Group PLC Current
since Jun 1, 2021
Accepting new patients
4C Medical Group PLC Family Medicine Current
since Jun 1, 2021
Accepting new patients
Arizona Health Services PLLC Current
since Feb 6, 2024
Accepting new patients
Skilled Facility Health Care Solutions Inc Current
since Jul 6, 2020
Accepting new patients
Z Medicine LLC Current
since Dec 1, 2023
Accepting new patients
John a. Lawson, MD, LLC Past Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

4040 E Camelback Rd
Ste 155A
Phoenix, AZ 85018
Phone (602) 806-7575

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

10249 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 249-5617

14775 W Yorkshire Dr
Surprise, AZ 85374
Phone (623) 377-9698

3747 Foothill Blvd
Ste B140
Glendale, CA 91214

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60127 AZ Yes
Family Medicine Physician 207Q00000X 048742 CT

Addresses

Primary practice location

9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 954-7500

Other identifiers

IdentifierTypeStateIssuer
Z257291OtherAZDOCTOR OF MEDICINE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2022.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1700935525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-954-7500",
            "fax_number": "702-266-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000",
            "fax_number": "860-819-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABU",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "60127",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "048742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF MEDICINE",
            "identifier": "Z257291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

All providers in Scottsdale, AZ · Family Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.