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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200717001052 | AZ | Practitioner - Family Practice | 6507906807 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239401 | MA | MD | Pharmacist |
| 60127 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Health Services PLLC | Current |
Accepting new patients | |
| Skilled Facility Health Care Solutions Inc. | Current | Accepting new patients | |
| 4C Medical Group PLC | Current |
Accepting new patients | |
| 4C Medical Group PLC | Family Medicine | Current |
Accepting new patients |
| Arizona Health Services PLLC | Current |
Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current |
Accepting new patients | |
| Z Medicine LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z257291 | Other | AZ | DOCTOR OF MEDICINE |
NPI Registry JSON
{
"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
- Harshdeep Babbar
- Emily Dehn Babcock
- Lisa S Babel
- Susan K Babendure
- Paul Andrew Babey
- Savanah Nicole Baccus
- Tina Bach
- Nanni B Bachenheimer
- Olga Bachir
- Back Nine Health Care LLC
All providers in Scottsdale, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.