ENTICARE PC
NPI 1710014410
Otolaryngology - Plastic Surgery within the Head & Neck in Chandler, AZ
About Enticare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENTICARE PC (NPI 1710014410) is a healthcare organization registered as a plastic surgery within the head & neck in Chandler, Arizona and active in the NPI registry since February 2007. The organization lists Homan Mostafavi, Physicianowner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Enticare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Enticare PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 21Source: 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 Enticare PC's NPI number?
The NPI number for Enticare PC is 1710014410. It was assigned to this organization in the NPPES registry on February 28, 2007.
Where is Enticare PC located?
Enticare PC is located at 2051 W Chandler Blvd Ste 5, Chandler, AZ 85224. The listed phone number is (480) 214-9000.
What is Enticare PC's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.
Is Enticare PC enrolled in Medicare?
Yes. Enticare PC is registered in the Medicare PECOS enrollment system.
When is Enticare PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Enticare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Enticare PC. 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 (12), Otolaryngology (8) and Qualified Audiologist (1). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Enticare PC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Enticare PC 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 Enticare PC was last updated on February 7, 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.
# Enticare Pc · NPI 1710014410
Plastic Surgery within the Head & Neck organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1710014410 (Entity type: Organization)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Otolaryngology - Plastic Surgery within the Head & Neck · taxonomy 207YX0007X
- **Organization subpart:** No
- **Authorized official:** Homan Mostafavi, PHYSICIANOWNER
## Practice location
- **Address:** 2051 W CHANDLER BLVD STE 5, Chandler, AZ 85224-6239
- **Phone:** (480) 214-9000 · **Fax:** (480) 214-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 21 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Otolaryngology (8), Qualified Audiologist (1); 3 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1710014410/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
- **Other identifiers:** Other 4520 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1710014410) · Data from the CMS NPPES public registry.