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DR. DENNIS MCCRACKEN M.D.
NPI 1417900820
Emergency Medicine in Phoenix, AZ

Active since May 18, 2006PECOS Enrolled
4524 N MARYVALE PKWY STE 140, PHOENIX, AZ 85031(623) 440-5424 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Dennis Mccracken M.d. NPPES

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

DR. DENNIS MCCRACKEN M.D. (NPI 1417900820) is an individual emergency medicine provider in Phoenix, Arizona, licensed in Arizona (17027) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1417900820
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DENNIS MCCRACKENCredential: M.D.
Location Address4524 N MARYVALE PKWY STE 140Phoenix, AZ 85031-1730
Mailing Address4524 N Maryvale Pkwy Ste 140Phoenix, AZ 85031-1730 · (623) 440-5424
Phone(623) 440-5424
Sole ProprietorYes
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1417900820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 17027✔ Licensed in TN · 23683
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD0000023683 (TN)
4524 N MARYVALE PKWY STE 140, Phoenix, AZ 85031
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Secondary Practice Location 1

Location 11331 N 7th St Ste 355Phoenix, AZ 85006-2772 · Phone (480) 208-1822

Other Identifiers 4

Other930056369TN · Railroad Medicare
Medicaid3083239TN
Other3056626TN · Blue Cross
Other3056626TN · Bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dennis Mccracken M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dennis Mccracken reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Emergency Physicians LLC
1,620 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

NEURON CONNECT LLC
Clinic/Center (Multi-Specialty)
4524 N MARYVALE PKWY STE 140
PHOENIX, AZ 85031
Maricopa County (602) 888-1012

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 Dennis Mccracken's NPI number?

The NPI number for Dennis Mccracken is 1417900820. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Dennis Mccracken located?

Dennis Mccracken practices at 4524 N Maryvale Pkwy Ste 140, Phoenix, AZ 85031. The listed phone number is (623) 440-5424.

What is Dennis Mccracken's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dennis Mccracken enrolled in Medicare?

Yes. Dennis Mccracken is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dennis Mccracken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Mccracken reassigns Medicare benefits to Southeastern Emergency Physicians LLC (Maysville, KY). The 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 Dennis Mccracken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dennis Mccracken was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.