Individual provider Active NPI

Duan Craig Copeland, MD

  • General Practice Physician
  • Scottsdale, AZ
National Provider Identifier
1891808028
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35699 Issued in AZ
Practice address
9300 E Raintree Dr Ste 130
Scottsdale, AZ 85260-7313
Phone
(480) 427-0002
Fax
(480) 462-4966
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35699 AZ
General Practice Physician 208D00000X 35699 AZ Primary

Addresses

Primary practice location

9300 E Raintree Dr Ste 130
Scottsdale, AZ 85260-7313

Mailing address

9300 E Raintree Dr Ste 130
Scottsdale, AZ 85260-7313
Phone (480) 427-0002

Other identifiers 3

IdentifierTypeStateIssuer
Z165354OtherMEDICARE PTAN
107152MedicaidAZ
Z161518OtherMEDICARE PTAN

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
I20220214000980 AZ Practitioner - General Practice 3870590581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Health Services PLLC CurrentSince May 10, 2022 Accepting new patients
Arizona Health Services PLLC General Practice CurrentSince May 10, 2022 Accepting new patients
Copeland Care General Practice PastSince Sep 16, 2013 Accepting new patients
Red House Medical PLC Past Accepting new patients

Locations

4040 E Camelback Rd
Ste 155A
Phoenix, AZ 85018
Phone (602) 806-7575

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1891808028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E RAINTREE DR STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607313",
            "telephone_number": "480-427-0002",
            "fax_number": "480-462-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E RAINTREE DR STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607313",
            "telephone_number": "480-427-0002",
            "fax_number": "480-462-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "DUAN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "35699",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "35699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z165354",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107152",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z161518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.