Individual provider Active NPI

Mark Alan Linsenmeyer, MD

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1730569419
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
74717 Issued in AZ
Practice address
222 W Thomas Rd Ste 114
Phoenix, AZ 85013-4420
Phone
(602) 406-6304
Fax
(602) 406-6302
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD462364 PA
Physical Medicine & Rehabilitation Physician 208100000X 302892 NY
Physical Medicine & Rehabilitation Physician 208100000X 74717 AZ Primary

Addresses

Primary practice location

222 W Thomas Rd Ste 114
Phoenix, AZ 85013-4420

Mailing address

240 W Thomas Rd # 301
Phoenix, AZ 85013-4407
Phone (602) 406-7765

Other practice location 1

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4560

Other practice location 2

1444 Western Ave Ste B1
Albany, NY 12203-3440
Phone (518) 458-8014

Other practice location 3

1444 Western Ave Ste A
Albany, NY 12203-3458
Phone (518) 489-2812

Other practice location 4

1444 Western Ave Ste D
Albany, NY 12203-3458
Phone (518) 452-0587

Other practice location 5

1444 Western Ave Ste C
Albany, NY 12203-3458
Phone (518) 533-6710

Other practice location 6

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4530

Other practice location 7

1444 Western Ave Ste B2
Albany, NY 12203-3440
Phone (518) 458-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190814002413 PA Practitioner - Physical Medicine and Rehabilitation 9335422559 Reassigns benefits to 1 organization
I20241022000908 AZ Practitioner - Physical Medicine and Rehabilitation 9335422559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers, Robert Woood Johnson Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St. Joseph's Outpatient Surgery Center, LLC Current Accepting new patients
Sjhmc Physician Services CurrentSince Nov 1, 2024 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
University of Pittsburgh Physicians Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
Dignity Health Past Accepting new patients

Locations

222 W Thomas Rd
Ste 114
Phoenix, AZ 85013
Phone (602) 406-4578

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262

File 56765
Los Angeles, CA 90074

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

3471 5th Ave
Ste 910
Pittsburgh, PA 15213
Phone (412) 692-4506

3471 5th Ave
Ste 1103
Pittsburgh, PA 15213
Phone (412) 648-6848

Interoperability endpoints

  • Direct secure messaging: mlinsenmeyer788341@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1730569419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W THOMAS RD # 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134407",
            "telephone_number": "602-406-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W THOMAS RD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134420",
            "telephone_number": "602-406-6304",
            "fax_number": "602-406-6302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4560",
            "fax_number": "518-386-3619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033440",
            "country_code": "US",
            "telephone_number": "518-458-8014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033458",
            "country_code": "US",
            "telephone_number": "518-489-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033458",
            "country_code": "US",
            "telephone_number": "518-452-0587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033458",
            "country_code": "US",
            "telephone_number": "518-533-6710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033440",
            "country_code": "US",
            "telephone_number": "518-458-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINSENMEYER",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD462364",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "302892",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "74717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.