Atlantis Medical Group Az PLLC
NPI 1740610039 · Pain Medicine (Anesthesiology) Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atlantis Medical Group Az PLLC is a Pain Medicine (Anesthesiology) Physician organization in Phoenix, AZ (NPI 1740610039).
Provider details
- NPI number
- 1740610039
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sean Reneau, Practice Administrator(602) 802-8636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Orthopaedic Hand Surgery Physician207XS0106X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-22
- Last updated
- 2017-11-15
Frequently asked questions
- What is Atlantis Medical Group Az PLLC's NPI number?
- Atlantis Medical Group Az PLLC's National Provider Identifier (NPI) is 1740610039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantis Medical Group Az PLLC?
- Atlantis Medical Group Az PLLC is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Atlantis Medical Group Az PLLC located?
- Atlantis Medical Group Az PLLC's practice location on file with NPPES is 5501 N 19th Ave, Phoenix, AZ 85015-2450.
- What is Atlantis Medical Group Az PLLC's phone number?
- The practice phone number listed in the NPPES registry for Atlantis Medical Group Az PLLC is (602) 589-0500.
- Does Atlantis Medical Group Az PLLC accept Medicare?
- Atlantis Medical Group Az PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Atlantis Medical Group Az PLLC?
- The authorized official listed on Atlantis Medical Group Az PLLC's NPPES record is Sean Reneau, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantis Medical Group Az PLLC's NPI active?
- Yes — Atlantis Medical Group Az PLLC's NPI (1740610039) is active in the NPPES registry as of the last update on 2017-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.