DR. DAVID J. CROCKETT M.D.
NPI 1225282882
Otolaryngology - Pediatric Otolaryngology in Phoenix, AZ

Active since November 10, 2008PECOS EnrolledAccepts Medicare Assignment
4545 E CHANDLER BLVD, SUITE 202, PHOENIX, AZ 85048(480) 659-2330(480) 659-2544 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David J. Crockett M.d. NPPES

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

DR. DAVID J. CROCKETT M.D. (NPI 1225282882) is an individual pediatric otolaryngology provider in Phoenix, Arizona, licensed in Arizona (49273) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2008).

NPPES Registry Identity

NPI1225282882
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. DAVID J. CROCKETTCredential: M.D.
Location Address4545 E CHANDLER BLVD, SUITE 202Phoenix, AZ 85048-7645
Mailing Address2222 E Highland Ave, Suite 204Phoenix, AZ 85016-4872 · (602) 264-4834 · Fax (602) 254-5178
Fax(480) 659-2544
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2008
Enumeration DateNovember 10, 2008
Last NPPES UpdateFebruary 15, 2016
NPI 1225282882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License Licensed in AZ · 49273
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 49273 (AZ)
4545 E CHANDLER BLVD, Phoenix, AZ 85048

Other Identifiers 2

Medicaid922449AZ
Medicare PIN167833AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. David J. Crockett M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709002876
PECOS Enrollment IDI20140725000707
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.

Other Providers at the Same Location NPPES 19

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

Internal Medicine
4545 E CHANDLER BLVD, SUITE 201
PHOENIX, AZ 85048
Durable Medical Equipment & Medical Supplies
4545 E CHANDLER BLVD, STE 202
PHOENIX, AZ 85048
Specialist
4545 E CHANDLER BLVD, STE 204
PHOENIX, AZ 85048
Family Medicine
4545 E CHANDLER BLVD, SUITE 206
PHOENIX, AZ 85048
Family Medicine
4545 E CHANDLER BLVD, SUITE 304
PHOENIX, AZ 85048
Family Medicine
4545 E CHANDLER BLVD
PHOENIX, AZ 85048
Nurse Practitioner (Adult Health)
4545 E CHANDLER BLVD, SUITE 305
PHOENIX, AZ 85048
Family Medicine
4545 E CHANDLER BLVD, SUITE 304
PHOENIX, AZ 85048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Crockett's NPI number?

The NPI number for David Crockett is 1225282882. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Where is David Crockett located?

David Crockett practices at 4545 E Chandler Blvd Suite 202, Phoenix, AZ 85048. The listed phone number is (480) 659-2330.

What is David Crockett's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is David Crockett enrolled in Medicare?

Yes. David Crockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Crockett accept?

Health plans from Blue Cross Blue Shield of Arizona list David Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Crockett was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.