NPIMap

Organization Active NPI

Endocrinology Associates P a DTD

  • Endocrinology, Diabetes & Metabolism Physician
  • Scottsdale, AZ
National Provider Identifier
1740294420
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY ASSOCIATES P A DTD
Practice address
9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Phone
(602) 266-8463
Fax
(602) 266-0122
NPI assigned
Jul 28, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Kelly Howell
Title
Front Office Manager
Phone
(602) 266-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

9328 E Raintree Dr
Scottsdale, AZ 85260-2098

Mailing address

9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Phone (602) 266-8463

Other practice location 1

5520 W Chandler Blvd Ste 3
Chandler, AZ 85226-3693
Phone (602) 266-8463

Other identifiers 1

IdentifierTypeStateIssuer
494995MedicaidAZ

Other names 1

  • Endocrinology Associates, P.A. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000719 AZ Part B Supplier - Clinic/Group Practice 4587555834 Receives reassigned benefits from 18 practitioners
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0526637Endocrinology Associates9328 E Raintree Dr, Scottsdale, AZ 85260AccreditationJun 15, 2027

National Provider Directory

National Provider Directory

Locations

5520 W Chandler Blvd
Chandler, AZ 85226
Phone (602) 266-8463

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1740294420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602098",
            "telephone_number": "602-266-8463",
            "fax_number": "602-266-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602098",
            "telephone_number": "602-266-8463",
            "fax_number": "602-266-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 W Chandler Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852263693",
            "country_code": "US",
            "telephone_number": "602-266-8463",
            "fax_number": "602-266-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINOLOGY ASSOCIATES P A DTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "FRONT OFFICE MANAGER",
        "authorized_official_telephone_number": "602-266-8463"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494995",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Associates, P.A.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Endocrinology Associates, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.