Individual provider Active NPI

Elizabeth J McConnell, MD

  • Colon & Rectal Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1952393761
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
28532 Issued in AZ
Practice address
6245 N 16TH St
Phoenix, AZ 85016-1706
Phone
(602) 253-4271
Fax
(602) 253-4273
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 28532 AZ Primary

Addresses

Primary practice location

6245 N 16TH St
Phoenix, AZ 85016-1706

Mailing address

PO Box 5458
Belfast, ME 04915-5400
Phone (602) 253-4271

Other identifiers 1

IdentifierTypeStateIssuer
526874MedicaidAZ

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
I20090831000106 AZ Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9739176595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Utah School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6245 N 16TH St
Phoenix, AZ 85016-1706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.5 of 100Reported as individual
Quality
76.68
Promoting interoperability
90
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy428
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Colon & Rectal Surgery CurrentSince Aug 15, 2018 Accepting new patients
City of Hope Medical Group of Arizona LLC Surgery CurrentSince Oct 13, 2021 Accepting new patients
Elizabeth J McConnell MD PLC Surgery CurrentSince Feb 28, 2005 Accepting new patients
Az Outpatient Anesthesia PLLC PastSince Dec 27, 2017 Accepting new patients
Affiliated Physicians & Surgeons, LTD PastSince May 19, 2008 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

20325 N 51st Ave
Ste 102
Glendale, AZ 85308
Phone (602) 253-4271

5620 W Thunderbird Rd
Ste G2
Glendale, AZ 85306
Phone (602) 938-3600

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

6245 N 16th St
Phoenix, AZ 85016
Phone (602) 253-4271

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3531/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.mcconnell.1@3531.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1952393761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5458",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155400",
            "telephone_number": "602-253-4271",
            "fax_number": "602-253-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161706",
            "telephone_number": "602-253-4271",
            "fax_number": "602-253-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "28532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526874",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.