ALFRED DEPIETRO NNP
NPI 1225054075
Nurse Practitioner - Neonatal in Phoenix, AZ

Q: What is Alfred Depietro's NPI number?

The NPI number for Alfred Depietro is 1225054075. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Alfred Depietro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Alfred Depietro was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 July 14, 2006PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Alfred Depietro Nnp NPPES

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

ALFRED DEPIETRO NNP (NPI 1225054075) is an individual neonatal provider in Phoenix, Arizona, licensed in Arizona (54349) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1225054075

Entity TypeIndividualMale

Primary Taxonomy363LN0000X

Provider Legal NameALFRED DEPIETROCredential: NNP

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130375Phoenix, AZ 85016-7761 · (602) 933-3124 · Fax (602) 274-3394

Phone(602) 933-1000

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateMay 10, 2023

NPPES CertifiedMay 10, 2023

✔ NPI 1225054075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in AZ · 54349✔ Licensed in AZ · AP6382

1919 E THOMAS RD, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 1300 W Clarendon Ave, 375Phoenix, AZ 85013-3420 · Phone (602) 277-4161 ext. 31 · Fax (602) 274-3394

Other Identifiers 1

Medicaid166315AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfred Depietro Nnp 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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

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.

DR. TIMUR RAGHIB M.D.

Hospitalist