Active NPI
Adrienne B Pettit, D.O.
- Internal Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3860
- Practice address
- 10900 N. Scottsdale Rd.
Suite 603
Scottsdale, AZ 85254-5216 - Phone
- (480) 607-3800
- Fax
- (480) 607-3808
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3860 | AZ | Primary |
Addresses
Primary practice location
10900 N. Scottsdale Rd.
Suite 603
Scottsdale, AZ 85254-5216
Mailing address
10900 N. Scottsdale Rd.
Suite 603
Scottsdale, AZ 85254-5216
Phone (480) 607-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 793069-02 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 78.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 62.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3860 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients |
Locations
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
2020 N Central Ave
Ste 1010
Phoenix, AZ 85004
Phone (602) 553-8400
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Internal Medicine Physician
- Sierra Vista, AZ
- NPI 1568758266
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1912993445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 N. SCOTTSDALE RD.",
"address_2": "SUITE 603",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545216",
"telephone_number": "480-607-3800",
"fax_number": "480-607-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 N. SCOTTSDALE RD.",
"address_2": "SUITE 603",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545216",
"telephone_number": "480-607-3800",
"fax_number": "480-607-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "ADRIENNE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "3860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "793069-02",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.