Pelvic Medicine and Reconstructive Surgery LLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

Legal business name

PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC

Doing business as

Scottsdale Urogynecology

Practice address

10661 N Frank Lloyd Wright Blvd Ste 102
Scottsdale, AZ 85259-2687

Phone

(480) 656-0207

Fax

(480) 939-3506

NPI assigned

Apr 29, 2019

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Akl, MDNPI 1992953541

Title

Owner

Phone

(810) 399-3699

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Urogynecology Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Ahmed Nader Akl, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Scottsdale, AZ
  • NPI 1992953541
  Medicare reassignment Care Compare group NPD Authorized official
• Alexis King, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1154940021
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1851955421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "480-656-0207",
            "fax_number": "480-939-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 N FRANK LLOYD WRIGHT BLVD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592687",
            "telephone_number": "480-656-0207",
            "fax_number": "480-939-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "AKL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-399-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Urogynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Ellen Pela, WHNP-BC, DNP
• Kerri Lynn Peller, RN
• Myriam Pelletier, MS
• Tina M Pelopida, M.D.
• Jody L Pelusi, N.P
• Stephanie Anne Pemberton
• Brittany J Pena, APRN
• Francisco Pena, M.D.
• Sierra Faye Pena, RN
• Brandon Darrell Penas

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.