Individual provider Active NPI

David M Medunick, DO

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1861488736
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008575 Issued in AZ
Practice address
10419 E McDowell Mountain Ranch Rd Ste A100
Scottsdale, AZ 85255-8697
Phone
(480) 882-7530
Fax
(480) 513-3224
NPI assigned
Sep 26, 2005
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008575 AZ Primary
Family Medicine Physician 207Q00000X 25MB07739200 NJ

Addresses

Primary practice location

10419 E McDowell Mountain Ranch Rd Ste A100
Scottsdale, AZ 85255-8697

Mailing address

2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172
Phone (623) 683-4462

Other identifiers 2

IdentifierTypeStateIssuer
007426MedicaidAZ
0072788MedicaidNJ

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
I20200721002021 AZ Practitioner - Family Practice 5890751531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

10419 E McDowell Mountain Ranch Rd
Suite A110
Scottsdale, AZ 85255-8697
Phone (480) 882-7530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corporation Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 3, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients
Highlands Interventional Pain Management LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 801-6688

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

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

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

10419 E McDowell Mtn Ranch Rd
Ste A100
Scottsdale, AZ 85255
Phone (480) 882-7530

10419 E McDowell Mtn Ranch Rd
Ste A110
Scottsdale, AZ 85255
Phone (480) 882-7530

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

10550 E Desert Hills Dr
Scottsdale, AZ 85262
Phone (480) 265-2140

1626 S Priest Dr
Ste 104
Tempe, AZ 85281
Phone (480) 882-7320

Interoperability endpoints

  • Direct secure messaging: dmedunick371524@direct.honorhealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1861488736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274172",
            "telephone_number": "623-683-4462",
            "fax_number": "623-683-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 E MCDOWELL MOUNTAIN RANCH RD STE A100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558697",
            "telephone_number": "480-882-7530",
            "fax_number": "480-513-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDUNICK",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008575",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07739200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007426",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072788",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.