1. Home
  2. Directory
  3. Arizona
  4. Scottsdale
  5. General Practice
  6. NPI Profile

SOZO LIFESTYLE MEDICINE PLLC
NPI 1669205795
General Practice in Scottsdale, AZ

Active since August 23, 2024CLIA 03D2272368 · Waiver
10045 E DYNAMITE BLVD STE F130, SCOTTSDALE, AZ 85262(480) 404-4346(480) 781-0020 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sozo Lifestyle Medicine Pllc NPPES

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

SOZO LIFESTYLE MEDICINE PLLC (NPI 1669205795) is a healthcare organization registered as a general practice in Scottsdale, Arizona and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Mary Elizabeth Young, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1669205795
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOZO LIFESTYLE MEDICINE PLLC
Location Address10045 E DYNAMITE BLVD STE F130Scottsdale, AZ 85262-3746
Mailing Address10045 E Dynamite Blvd Ste F130Scottsdale, AZ 85262-3746 · (804) 404-4346 · Fax (480) 781-0020
Phone(480) 404-4346
Fax(480) 781-0020
Organization SubpartNo
Authorized OfficialMary Elizabeth YoungPhysician/owner · (602) 570-9441
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1669205795 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
10045 E DYNAMITE BLVD STE F130, Scottsdale, AZ 85262
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sozo Lifestyle Medicine Pllc 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 Sozo Lifestyle Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Young, D.O.
Emergency Medicine
NPI 1447415427
4730 E INDIAN SCHOOL RD SUITE 211
Phoenix, AZ 85018
(602) 354-3491
✔ PECOS✔ Accepts Medicare18 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 03D2272368

Sozo Lifestyle Medicine · Scottsdale, AZ
Active · expires Nov 17, 2026
CLIA Number03D2272368
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorMary E. Young
Laboratory Phone(480) 404-4346
Laboratory LocationSozo Lifestyle Medicine22044 N 44th St Ste 120, Scottsdale, AZ 85266
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 Sozo Lifestyle Medicine PLLC's NPI number?

The NPI number for Sozo Lifestyle Medicine PLLC is 1669205795. It was assigned to this organization in the NPPES registry on August 23, 2024.

Where is Sozo Lifestyle Medicine PLLC located?

Sozo Lifestyle Medicine PLLC is located at 10045 E Dynamite Blvd Ste F130, Scottsdale, AZ 85262. The listed phone number is (480) 404-4346.

What is Sozo Lifestyle Medicine PLLC's specialty?

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

Is Sozo Lifestyle Medicine PLLC enrolled in Medicare?

Yes. Sozo Lifestyle Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sozo Lifestyle Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Sozo Lifestyle Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sozo Lifestyle Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2272368) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sozo Lifestyle Medicine PLLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.