NPIMap

Organization Active NPI

Critical Care Consultants of Arizona PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Prescott, AZ
National Provider Identifier
1811094931
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
CRITICAL CARE CONSULTANTS OF ARIZONA PLLC
Practice address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone
(928) 773-0003
Fax
(928) 773-1170
NPI assigned
Sep 20, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Douglas W MapelNPI 1497730451
Title
Authorized Offical
Phone
(928) 773-0003

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
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary

Addresses

Primary practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

PO Box 967
Flagstaff, AZ 86002-0967
Phone (928) 773-0003

Other practice location 1

7700 E Florentine Rd
Prescott Valley, AZ 86314-2245
Phone (928) 773-0003

Other identifiers 1

IdentifierTypeStateIssuer
152069MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070119000403 AZ Part B Supplier - Clinic/Group Practice 5698776516 Receives reassigned benefits from 8 practitioners
Practice locations: Prescott, AZ; Prescott Valley, AZ

National Provider Directory

National Provider Directory

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1811094931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860020967",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 E Florentine Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142245",
            "country_code": "US",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRITICAL CARE CONSULTANTS OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "MAPEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "928-773-0003"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152069",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.