NICHOLAS MAVERICK SCUDERI MD
NPI 1093501728
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Nicholas Scuderi's NPI number?

The NPI number for Nicholas Scuderi is 1093501728. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Q: What is Nicholas Scuderi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Scuderi was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2025PECOS Enrolled

1300 N 12TH ST STE 508, PHOENIX, AZ 85006(602) 839-3927 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Maverick Scuderi Md NPPES

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

NICHOLAS MAVERICK SCUDERI MD (NPI 1093501728) is an individual student in an organized health care education/training program in Phoenix, Arizona, licensed in Arizona (R81720) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093501728

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS MAVERICK SCUDERICredential: MD

Location Address1300 N 12TH ST STE 508Phoenix, AZ 85006-2849

Mailing Address1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (602) 839-2266

Phone(602) 839-3927

Sole ProprietorNo

Enumeration DateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1093501728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in AZ · R81720

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 N 12TH ST STE 508, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Maverick Scuderi Md 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.

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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.

TREVIN REYES MD

Student in an Organized Health Care Education/Training Program