Individual provider Active NPI

Stefan David Tarlow, M.D.

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1962509448
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD34257 Issued in AZ
Practice address
8630 E Via de Ventura Ste 105
Scottsdale, AZ 85258-3340
Phone
(480) 483-0393
Fax
(480) 237-9473
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD34257 AZ Primary

Addresses

Primary practice location

8630 E Via de Ventura Ste 105
Scottsdale, AZ 85258-3340

Mailing address

8630 E Via de Ventura Ste 105
Scottsdale, AZ 85258-3340
Phone (480) 483-0393

Other identifiers 1

IdentifierTypeStateIssuer
1730330234OtherORGANIZATIONAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD34257AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Herman Alliance, LLC Orthopaedic Surgery Current Accepting new patients
Scottsdale Center for Robotic Surgery, PLLC PastSince May 6, 2021 Accepting new patients
Surgcenter of Greater Phoenix, LLC Past Accepting new patients

Organizations & group practices 3

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1962509448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583340",
            "telephone_number": "480-483-0393",
            "fax_number": "480-237-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583340",
            "telephone_number": "480-483-0393",
            "fax_number": "480-237-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARLOW",
        "first_name": "STEFAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "MD34257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1730330234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.