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ARTHUR SITELMAN MD
NPI 1265595326
Pathology - Anatomic Pathology & Clinical Pathology in Phoenix, AZ

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
9150 W INDIAN SCHOOL RD STE 122, PHOENIX, AZ 85037(623) 889-0100(623) 889-0101 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arthur Sitelman Md NPPES

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

ARTHUR SITELMAN MD (NPI 1265595326) is an individual anatomic pathology & clinical pathology provider in Phoenix, Arizona, licensed in Arizona (16845) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1265595326
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameARTHUR SITELMANCredential: MD
Location Address9150 W INDIAN SCHOOL RD STE 122Phoenix, AZ 85037-2387
Mailing Address9150 W Indian School Rd, Ste 122Phoenix, AZ 85037-2387 · (602) 942-6166 · Fax (602) 942-6188
Phone(623) 889-0100
Fax(623) 889-0101
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1265595326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in AZ · 16845
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
9150 W INDIAN SCHOOL RD STE 122, Phoenix, AZ 85037
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Other Identifiers 3

Medicaid26751901AZ
Other220028181AZ · Rr Medicare
OtherAZ0252440AZ · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Arthur Sitelman Md 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 ID4688560097
PECOS Enrollment IDI20071113000753
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
403 services376 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
128 services92 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
121 services115 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
58 services54 patients
Fungal culture (mold or yeast) 87102
A fungal culture is a lab test performed to detect and identify fungi in a sample from the body. It helps determine if a fungal infection is present and, if so, the type of fungus involved. The test involves collecting a sample, such as skin scrapings or a throat swab, which is then sent to a lab for analysis.
46 services15 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

GRANT SCHAFER D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
9150 W INDIAN SCHOOL RD STE 122
PHOENIX, AZ 85037
Maricopa County (623) 889-0100
ARTHUR SITELMAN M.D., P.C.
Pathology (Anatomic Pathology & Clinical Pathology)
9150 W INDIAN SCHOOL RD STE 122
PHOENIX, AZ 85037
Maricopa County (623) 889-0100

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 Arthur Sitelman's NPI number?

The NPI number for Arthur Sitelman is 1265595326. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Arthur Sitelman located?

Arthur Sitelman practices at 9150 W Indian School Rd Ste 122, Phoenix, AZ 85037. The listed phone number is (623) 889-0100.

What is Arthur Sitelman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Arthur Sitelman enrolled in Medicare?

Yes. Arthur Sitelman 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 Arthur Sitelman accept?

Health plans from Ambetter from Arizona Complete Health list Arthur Sitelman 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 Arthur Sitelman was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.