SYNERGY WOUND 360 PLLC
NPI 1396629176
General Practice in Scottsdale, AZ

Q: What is Synergy Wound 360 PLLC's NPI number?

The NPI number for Synergy Wound 360 PLLC is 1396629176. It was assigned to this organization in the NPPES registry on August 4, 2025.

Q: What is Synergy Wound 360 PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since August 04, 2025

9070 E DESERT COVE AVE # A103, SCOTTSDALE, AZ 85260(480) 553-6168(480) 779-8905 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Synergy Wound 360 Pllc NPPES

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

SYNERGY WOUND 360 PLLC (NPI 1396629176) is a healthcare organization registered as a general practice in Scottsdale, Arizona and active in the NPI registry since August 2025. The organization maintains a secondary practice location in Phoenix and lists Vinamra Jain, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1396629176

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSYNERGY WOUND 360 PLLC

Location Address9070 E DESERT COVE AVE # A103Scottsdale, AZ 85260-6227

Mailing Address9070 E Desert Cove Ave # A103Scottsdale, AZ 85260-6227 · (480) 553-6168 · Fax (480) 779-8905

Phone(480) 553-6168

Fax(480) 779-8905

Organization SubpartNo

Authorized OfficialVinamra JainAuthorized Official · (480) 553-6168

Enumeration DateAugust 4, 2025

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1396629176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9070 E DESERT COVE AVE # A103, Scottsdale, AZ 85260

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Secondary Practice Location 1

Location 116635 N 43rd Ave # 103Phoenix, AZ 85053-2707 · Phone (480) 553-6168 · Fax (480) 779-8905

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)

Synergy Wound 360 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Synergy Wound 360 PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Vinamra Jain, MD

Family Practice

NPI 1427388925

9070 E DESERT COVE AVE STE 102
Scottsdale, AZ 85260

(480) 553-6168

✔ PECOS✔ Accepts MedicareSame address

Yvette Frey, ACNP

Nurse Practitioner

NPI 1770052086

1012 E WILLETTA ST
Phoenix, AZ 85006

(602) 839-6484

✔ PECOS✔ Accepts Medicare13 mi

Michael Desvigne, M.D.

Plastic and Reconstructive Surgery

NPI 1356336317

6320 W. UNION HILLS DR, BLDG A, STE 140
Glendale, AZ 85308

(480) 471-8700

✔ PECOS✔ Accepts Medicare19 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 Synergy Wound 360 PLLC's NPI number?

The NPI number for Synergy Wound 360 PLLC is 1396629176. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Synergy Wound 360 PLLC located?

Synergy Wound 360 PLLC is located at 9070 E Desert Cove Ave # A103, Scottsdale, AZ 85260. The listed phone number is (480) 553-6168.

What is Synergy Wound 360 PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Synergy Wound 360 PLLC enrolled in Medicare?

Yes. Synergy Wound 360 PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Wound 360 PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Synergy Wound 360 PLLC, in Family Practice, Nurse Practitioner and Plastic and Reconstructive Surgery. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Synergy Wound 360 PLLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.