SCOTTSDALE FAMILY PHYSICIANS PLLC
NPI 1306408018
Family Medicine in Scottsdale, AZ

Active since July 02, 2019CLIA 03D0927705 · Waiver
9755 N 90TH ST STE C200, SCOTTSDALE, AZ 85258(480) 661-1755 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scottsdale Family Physicians Pllc NPPES

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

SCOTTSDALE FAMILY PHYSICIANS PLLC (NPI 1306408018) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Marcia Sistek, Owner, as its authorized official.

NPPES Registry Identity

NPI1306408018
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCOTTSDALE FAMILY PHYSICIANS PLLC
Location Address9755 N 90TH ST STE C200Scottsdale, AZ 85258-5048
Mailing Address9755 N 90th St Ste C200Scottsdale, AZ 85258-5048 · (480) 661-1755
Organization SubpartNo
Authorized OfficialMarcia SistekOwner · (480) 661-1755
Enumeration DateJuly 2, 2019
✔ NPI 1306408018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9755 N 90TH ST STE C200, Scottsdale, AZ 85258

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scottsdale Family Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Scottsdale Family Physicians PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1477543486
9755 N 90TH ST SUITE C-200
Scottsdale, AZ 85258
(480) 661-1755
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851145122
9755 N 90TH ST STE C200
Scottsdale, AZ 85258
(480) 661-1755
✔ PECOSSame address
Nurse Practitioner
NPI 1356239883
9755 N 90TH ST STE C200
Scottsdale, AZ 85258
(480) 661-1755
✔ PECOSSame address
Nurse Practitioner
NPI 1942856539
9003 E SHEA BLVD
Scottsdale, AZ 85260
(480) 323-3000
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1306330105
42419 N CENTRAL AVE
Phoenix, AZ 85086
(602) 770-3770
✔ PECOS23 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0927705

Scottsdale Family Physicians PLLC · Scottsdale, AZ
Active · expires Apr 24, 2027
CLIA Number03D0927705
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorMarcia L. Sistek
Laboratory Phone(480) 661-1755
Laboratory LocationScottsdale Family Physicians PLLC9755 N 90th St Ste C-200, Scottsdale, AZ 85258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Scottsdale Family Physicians PLLC's NPI number?

The NPI number for Scottsdale Family Physicians PLLC is 1306408018. It was assigned to this organization in the NPPES registry on July 2, 2019.

Where is Scottsdale Family Physicians PLLC located?

Scottsdale Family Physicians PLLC is located at 9755 N 90th St Ste C200, Scottsdale, AZ 85258. The listed phone number is (480) 661-1755.

What is Scottsdale Family Physicians PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scottsdale Family Physicians PLLC enrolled in Medicare?

Yes. Scottsdale Family Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scottsdale Family Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Scottsdale Family Physicians PLLC. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scottsdale Family Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0927705) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scottsdale Family Physicians PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Scottsdale Family Physicians PLLC 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 Scottsdale Family Physicians PLLC was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.