Scottsdale Internal Medicine PLLC
NPI 1790050409 · Adult Health Clinical Nurse Specialist · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scottsdale Internal Medicine PLLC is a Adult Health Clinical Nurse Specialist organization in Phoenix, AZ (NPI 1790050409).
Provider details
- NPI number
- 1790050409
- Entity type
- Organization
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Charles Evans, Owner(602) 292-0552
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 13840 N Northsight Blvd Ste 121Scottsdale, AZ 85260Phone: (480) 588-6924
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Frequently asked questions
- What is Scottsdale Internal Medicine PLLC's NPI number?
- Scottsdale Internal Medicine PLLC's National Provider Identifier (NPI) is 1790050409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scottsdale Internal Medicine PLLC?
- Scottsdale Internal Medicine PLLC is classified in the NPPES registry as Adult Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Scottsdale Internal Medicine PLLC located?
- Scottsdale Internal Medicine PLLC's practice location on file with NPPES is 4643 N 12th St Ste 101, Phoenix, AZ 85014-4083.
- What is Scottsdale Internal Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Scottsdale Internal Medicine PLLC is (602) 812-3789.
- Does Scottsdale Internal Medicine PLLC accept Medicare?
- Scottsdale Internal Medicine 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 Scottsdale Internal Medicine PLLC?
- The authorized official listed on Scottsdale Internal Medicine PLLC's NPPES record is Charles Evans, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scottsdale Internal Medicine PLLC's NPI active?
- Yes — Scottsdale Internal Medicine PLLC's NPI (1790050409) is active in the NPPES registry as of the last update on 2024-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.