Active NPI
Dorothy Piekut, M.D.
- Psychiatry Physician
- Avondale, AZ
National Provider Identifier
1952414401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27151
- Practice address
- 10550 W McDowell Rd
Avondale, AZ 85392-4864 - Phone
- (480) 345-5400
- Fax
- (480) 345-5450
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 27151 | AZ | Primary |
Addresses
Primary practice location
10550 W McDowell Rd
Avondale, AZ 85392-4864
Mailing address
10618 E Butherus Dr
Scottsdale, AZ 85255-8583
Phone (480) 513-3134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27151 | Other | AZ | LICENCE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091123000716 | AZ | Practitioner - Psychiatry | 7618016189 | Practice locations: Avondale, AZ; Phoenix, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27151 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Springs Hospital, LLC | Past | Accepting new patients | |
| Dorothy Piekut MD PLLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Tempe, AZ
- NPI 1538557590
-
- Psychiatric Hospital
- Avondale, AZ
- NPI 1336504380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1952414401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10618 E BUTHERUS DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852558583",
"telephone_number": "480-513-3134",
"fax_number": "480-513-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10550 W MCDOWELL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924864",
"telephone_number": "480-345-5400",
"fax_number": "480-345-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEKUT",
"first_name": "DOROTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "27151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "27151",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.