Individual provider Active NPI

James Kellershabrokh, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
National Provider Identifier
1801038914
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.131970 Issued in IL
Practice address
8841 E Bell Rd Ste 101
Scottsdale, AZ 85260-1591
Phone
(602) 971-8200
Fax
(602) 971-8201
NPI assigned
Apr 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036.131970 IL Primary

Addresses

Primary practice location

8841 E Bell Rd Ste 101
Scottsdale, AZ 85260-1591

Mailing address

8841 E Bell Rd Ste 101
Scottsdale, AZ 85260-1591
Phone (602) 971-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160811000881 AZ Practitioner - Physical Medicine and Rehabilitation 8224278502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8841 E Bell Rd
Suite 101
Scottsdale, AZ 85260-1591
Phone 6029718200104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.131970ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur H Schurgin DO PC CurrentSince Jul 1, 2016 Accepting new patients
Integrative Pain Specialists CurrentSince May 1, 2024 Accepting new patients
NNKS Anesthesia LLC CurrentSince Aug 18, 2022 Accepting new patients
Pain and Spine Clinics PLLC CurrentSince Jan 21, 2024 Accepting new patients
Spine & Sports Physiatrists, S.C. Physical Medicine & Rehabilitation PastSince May 19, 2016 Accepting new patients

Locations

16620 N 40th St
Ste D1
Phoenix, AZ 85032
Phone (480) 565-7246

3811 E Bell Rd
Ste 207
Phoenix, AZ 85032
Phone (480) 863-6044

8841 E Bell Rd
Ste 101
Scottsdale, AZ 85260
Phone (602) 971-8200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1801038914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 E BELL RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601591",
            "telephone_number": "602-971-8200",
            "fax_number": "602-971-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 E BELL RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601591",
            "telephone_number": "602-971-8200",
            "fax_number": "602-971-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERSHABROKH",
        "first_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.131970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.