Individual provider Active NPI

Simon Olstein, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1972896520
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
8589 Issued in AZ
Practice address
5656 E Orange Blossom LN Ste 5
Phoenix, AZ 85018-8139
Phone
(602) 601-7429
Fax
(602) 601-7428
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 8589 AZ Primary

Addresses

Primary practice location

5656 E Orange Blossom LN Ste 5
Phoenix, AZ 85018-8139

Mailing address

5656 E Orange Blossom LN Ste 5
Phoenix, AZ 85018-8139
Phone (602) 601-7429

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 Apr 21, 2016 through Apr 21, 2028

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
New York Medical College, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12223 N 78TH St
Scottsdale, AZ 85260-4818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008589AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PGF Medical Services PLLC Addiction Medicine CurrentSince Feb 9, 2020 Accepting new patients
Southwest Vascular Institute LTD Vascular Surgery Past Accepting new patients
Direct2Md PastSince Feb 9, 2020 Accepting new patients

Locations

5656 E Orange Blossom Ln
Ste 5
Phoenix, AZ 85018
Phone (602) 601-7429

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1972896520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 E ORANGE BLOSSOM LN STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188139",
            "telephone_number": "602-601-7429",
            "fax_number": "602-601-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 E ORANGE BLOSSOM LN STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188139",
            "telephone_number": "602-601-7429",
            "fax_number": "602-601-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSTEIN",
        "first_name": "SIMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "8589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.