CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE
NPI 1255734919
Orthopaedic Surgery - Sports Medicine in Phoenix, AZ

Q: What is Cucchetti Orthopedics And Sports Medicine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since October 08, 2014

4440 N 36TH ST, SUITE 100, PHOENIX, AZ 85018(602) 952-8111(602) 952-1572 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cucchetti Orthopedics And Sports Medicine NPPES

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

CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE (NPI 1255734919) is a healthcare organization registered as a sports medicine in Phoenix, Arizona and active in the NPI registry since October 2014. The organization lists Kim Holliday, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255734919

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameCUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE

Location Address4440 N 36TH ST, SUITE 100Phoenix, AZ 85018-3588

Mailing Address4440 N 36th St, Suite 100Phoenix, AZ 85018-3588 · (602) 952-8111 · Fax (602) 952-1572

Phone(602) 952-8111

Fax(602) 952-1572

Organization SubpartNo

Authorized OfficialKim HollidayAdministrator · (480) 330-3851

Enumeration DateOctober 8, 2014

Last NPPES UpdateOctober 15, 2014

✔ NPI 1255734919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in AZ · 005722

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4440 N 36TH ST, Phoenix, AZ 85018

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cucchetti Orthopedics And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cucchetti Orthopedics And Sports Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brad Cucchetti, D.O.

Orthopedic Surgery

NPI 1396702353

13020 N TELECOM PKWY
Temple Terrace, FL 33637

(813) 978-9700

✔ PECOS✔ Accepts Medicare1,795 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cucchetti Orthopedics And Sports Medicine's NPI number?

The NPI number for Cucchetti Orthopedics And Sports Medicine is 1255734919. It was assigned to this organization in the NPPES registry on October 8, 2014.

Where is Cucchetti Orthopedics And Sports Medicine located?

Cucchetti Orthopedics And Sports Medicine is located at 4440 N 36th St Suite 100, Phoenix, AZ 85018. The listed phone number is (602) 952-8111.

What is Cucchetti Orthopedics And Sports Medicine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Cucchetti Orthopedics And Sports Medicine enrolled in Medicare?

Yes. Cucchetti Orthopedics And Sports Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cucchetti Orthopedics And Sports Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Cucchetti Orthopedics And Sports Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cucchetti Orthopedics And Sports Medicine was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.