PATHERICA CHAROENMINS DO
NPI 1063262053
Internal Medicine in Scottsdale, AZ

Active since March 25, 2024PECOS Enrolled
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2024, Apr 29, 2024 (2 updates tracked since 2024).

About Patherica Charoenmins Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHERICA CHAROENMINS DO (NPI 1063262053) is an individual internal medicine provider in Scottsdale, Arizona, licensed in Arizona (R4223) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063262053
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePATHERICA CHAROENMINSCredential: DO
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1063262053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · R4223
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

13400 E SHEA BLVD, Scottsdale, AZ 85259

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Patherica Charoenmins Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Physician Assistant (Surgical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Psychologist (Clinical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Dietitian, Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Psychologist (Clinical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Cardiovascular Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Pathology (Anatomic Pathology & Clinical Pathology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063262053, enumerated as an "individual" on March 25, 2024.

The provider is located at 13400 E SHEA BLVD SCOTTSDALE, AZ 85259 and the phone number is (480) 301-8000.

Internal Medicine with taxonomy code 207R00000X.