Individual provider Active NPI

Alyssa Kristine Stassi, D.O.

  • Surgical Critical Care Physician
  • Phoenix, AZ
National Provider Identifier
1831464858
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
007597 Issued in AZ
Practice address
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone
(602) 633-3721
Fax
(602) 595-1127
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.011950 OH
Surgery Physician 208600000X 007597 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Critical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0102X 007597 AZ Primary

Addresses

Primary practice location

16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356

Mailing address

16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 633-3721

Other identifiers 1

IdentifierTypeStateIssuer
406897MedicaidAZ

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
I20180804000181 AZ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 7618278813 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shirah Surgical PLLCGroup PAC ID 9234585944, 5 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

720 E Thunderbird Rd
Suite 3
Phoenix, AZ 85022-5396
Phone (480) 531-1681

9202 N 2ND St
Phoenix, AZ 85020-2458
Phone (480) 583-0500

Hospital & facility affiliations

  • Arizona Home Care Home health agency, Tempe, AZ, CCN 037199
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue194
Removal of skin lesions48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Apr 24, 2025 Accepting new patients
Shirah Surgical PLLC Single Specialty CurrentSince Oct 2, 2023 Accepting new patients
Honorhealth Ambulatory Single Specialty CurrentSince Apr 24, 2025 Accepting new patients
Valley Surgical Clinics, LTD Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Honorhealth Single Specialty CurrentSince Aug 8, 2019 Accepting new patients
Honorhealth Ambulatory Single Specialty Current Accepting new patients
Honorhealth CurrentSince Aug 8, 2019 Accepting new patients
Honorhealth Ambulatory Single Specialty Past Accepting new patients

Locations

9250 N 3rd St
Ste 3015
Phoenix, AZ 85020
Phone (480) 867-7171

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

720 E Thunderbird Rd
Ste 3
Phoenix, AZ 85022
Phone (480) 531-1681

19646 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (602) 663-9371

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

19636 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (623) 516-4400

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

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

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

Interoperability endpoints

  • Direct secure messaging: alyssastassi@vsc.allscriptsdirect.net

Organizations & group practices 8

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 7

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1831464858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323356",
            "telephone_number": "602-633-3721",
            "fax_number": "602-595-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323356",
            "telephone_number": "602-633-3721",
            "fax_number": "602-595-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASSI",
        "first_name": "ALYSSA",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.011950",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "007597",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "007597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406897",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.