Organization Active NPI

Synergyhealth360 PLLC

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1770472276
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
SYNERGYHEALTH360 PLLC
Practice address
9070 E Desert Cove Ave Ste 106
Scottsdale, AZ 85260-6228
Phone
(480) 553-6168
Fax
(480) 779-8905
NPI assigned
Jun 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dr. Vinamra Jain, MDNPI 1427388925
Title
Owner
Phone
(908) 553-6168

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
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

9070 E Desert Cove Ave Ste 106
Scottsdale, AZ 85260-6228

Mailing address

9070 E Desert Cove Ave Ste 106
Scottsdale, AZ 85260-6228
Phone (480) 553-6168

Other practice location 1

16635 N 43rd Ave # 100
Phoenix, AZ 85053-2707
Phone (480) 553-6168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905002838 AZ Part B Supplier - Clinic/Group Practice 5698277978 Receives reassigned benefits from 9 practitioners
Practice locations: Phoenix, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

9070 E Desert Cove Ave
Ste 106
Scottsdale, AZ 85260
Phone (480) 553-6168

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1770472276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE STE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606228",
            "telephone_number": "480-553-6168",
            "fax_number": "480-779-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE STE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606228",
            "telephone_number": "480-553-6168",
            "fax_number": "480-779-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16635 N 43rd Ave # 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850532707",
            "country_code": "US",
            "telephone_number": "480-553-6168",
            "fax_number": "480-779-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGYHEALTH360 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VINAMRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-553-6168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 30, 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.