Individual provider Active NPI

John Raber Feagler, M.D.

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1972635845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29762 Issued in AZ
Practice address
7960 E Thompson Peak Pkwy
Suite B
Scottsdale, AZ 85255-7406
Phone
(480) 222-4600
Fax
(480) 222-4619
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29762 AZ Primary

Addresses

Primary practice location

7960 E Thompson Peak Pkwy
Suite B
Scottsdale, AZ 85255-7406

Mailing address

7960 E Thompson Peak Pkwy
Suite B
Scottsdale, AZ 85255-7406
Phone (480) 222-4600

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 Dec 24, 2015 through Dec 24, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12615NEMDSocial Worker
23383IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grayhawk Personal Physicians Past Accepting new patients

Organizations & group practices 1

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972635845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 E THOMPSON PEAK PKWY",
            "address_2": "SUITE B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557406",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 E THOMPSON PEAK PKWY",
            "address_2": "SUITE B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557406",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGLER",
        "first_name": "JOHN",
        "middle_name": "RABER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.