Individual provider Active NPI

Gregory Mozdyniewicz, D.O.

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1811555113
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
010029 Issued in AZ
Practice address
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone
(480) 323-3000
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 010029 AZ Primary

Addresses

Primary practice location

9003 E Shea Blvd
Scottsdale, AZ 85260-6709

Mailing address

8638 E Thornwood Dr
Scottsdale, AZ 85251-1853
Phone (480) 370-4431

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
I20230607001760 AZ Practitioner - Anesthesiology 6204160914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010029AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince May 1, 2023 Accepting new patients

Locations

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3535 N Scottsdale Rd
Scottsdale, AZ 85251
Phone (480) 675-4657

20401 N 73rd St
Ste 105
Scottsdale, AZ 85255
Phone (480) 505-3484

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

9007 E Shea Blvd
Ste A
Scottsdale, AZ 85260
Phone (480) 323-3950

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1811555113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 E THORNWOOD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511853",
            "telephone_number": "480-370-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606709",
            "telephone_number": "480-323-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZDYNIEWICZ",
        "first_name": "GREGORY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "010029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.