DR. ROOSEVELT BRYANT III MD
NPI 1720221252
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Scottsdale, AZ

Q: What is Roosevelt Bryant's NPI number?

The NPI number for Roosevelt Bryant is 1720221252. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Q: What is Roosevelt Bryant's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Roosevelt Bryant was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 14, 2009PECOS Enrolled

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2021, Oct 3, 2019, Aug 19, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Roosevelt Bryant Iii Md NPPES

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

DR. ROOSEVELT BRYANT III MD (NPI 1720221252) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Scottsdale, Arizona, licensed in Arizona (58889) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720221252

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. ROOSEVELT BRYANT IIICredential: MD

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452

Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Enumeration DateApril 14, 2009

Last NPPES UpdateJanuary 16, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1720221252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in AZ · 58889✔ Licensed in KY · 47912✔ Licensed in OH · 35.121454✔ Licensed in IN · 01094181A

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Secondary Practice Locations 2

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-2693 · Fax (602) 933-2697

Location 28333 Naab Rd Ste 320Indianapolis, IN 46260-1983 · Phone (317) 338-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roosevelt Bryant Iii Md 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 Reassignments

Medicare enrollment records show Roosevelt Bryant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Medical Group

14 mi

Multi-Specialty

5131 E SOUTHERN AVE
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Phoenix Children's Hospital
1,416 clinicians in this Medicare group

NPI 1487814240 (602) 933-0002

St Vincent Pediatric Subspecialties

1,393 mi

Pediatric Critical Care Medicine

3700 WASHINGTON AVE
Evansville, IN 47714

Reassigned Medicare billing, Indiana enrollment
294 clinicians in this Medicare group

NPI 1851950224 (812) 485-4000

Children's Hospital Medical Center

1,563 mi

Pediatrics

3333 BURNET AVENUE
Cincinnati, OH 45229

Reassigned Medicare billing, Ohio enrollment
2,080 clinicians in this Medicare group

NPI 1609915784 (513) 636-4225

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 85259 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 20

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

AMITKUMAR MEHTA MD

Internal Medicine (Hematology & Oncology)