Organization Active NPI

Colley Medical Group PLLC

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1740879196
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COLLEY MEDICAL GROUP PLLC
Practice address
8175 E Evans Rd # 13286
Scottsdale, AZ 85260-3606
Phone
(480) 215-6819
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Joel Colley, MDNPI 1487650305
Title
Physicin/Owner
Phone
(480) 215-6819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8175 E Evans Rd # 13286
Scottsdale, AZ 85260-3606

Mailing address

PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 923-5000

Other identifiers 1

IdentifierTypeStateIssuer
=========OtherAZ207L00000X

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120002622 AZ Part B Supplier - Clinic/Group Practice 3678987393 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

8175 E Evans Rd
#13286
Scottsdale, AZ 85260
Phone (480) 215-6819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1740879196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-923-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 E EVANS RD # 13286",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603606",
            "telephone_number": "480-215-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PHYSICIN/OWNER",
        "authorized_official_telephone_number": "480-215-6819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207L00000X",
            "identifier": "=========",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.