ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC
NPI 1730365958
Specialist/Technologist in Sun City West, AZ

Active since January 17, 2008
14510 W SHUMWAY DR STE 101, SUN CITY WEST, AZ 85375(623) 975-1660(623) 584-4282 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arizona Ear Nose And Throat Physicians Pllc NPPES

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

ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC (NPI 1730365958) is a healthcare organization registered as a specialist/technologist in Sun City West, Arizona and active in the NPI registry since January 2008. The organization maintains a secondary practice location in Sun City and lists Eleonora Kazimiera Tysiac, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730365958
Entity TypeOrganization
Primary Taxonomy235500000X
Legal Business NameARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC
Location Address14510 W SHUMWAY DR STE 101Sun City West, AZ 85375-5815
Mailing Address14510 W Shumway Dr Ste 101Sun City West, AZ 85375-5815 · (623) 975-1660 · Fax (623) 584-4282
Fax(623) 584-4282
Organization SubpartNo
Authorized OfficialEleonora Kazimiera TysiacAdministrator · (623) 214-0308
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1730365958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/TechnologistSpeech, Language and Hearing Service Providers
Taxonomy Code235500000X
License✔ Licensed in AZ · 24954
Definition
General classification identifying speech, language and hearing services individuals who are trained on a specific piece of equipment or technical procedure.
14510 W SHUMWAY DR STE 101, Sun City West, AZ 85375

Secondary Practice Location 1

Location 110503 W Thunderbird Blvd Ste 104Sun City, AZ 85351-3047 · Phone (623) 975-1660 · Fax (623) 975-1654

Other Identifiers 1

Other40016859AZ · Rrb

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

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)

Arizona Ear Nose And Throat Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040611001351Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Arizona Ear Nose And Throat Physicians PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1225458425
14510 W SHUMWAY DR STE 101
Sun City West, AZ 85375
(623) 975-1660
✔ PECOSSame address
Otolaryngology
NPI 1841293677
14510 W SHUMWAY DR STE 101
Sun City West, AZ 85375
(623) 975-1660
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1063440444
14510 W SHUMWAY DR STE 101
Sun City West, AZ 85375
(623) 975-1660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053389973
14510 W SHUMWAY DR STE 101
Sun City West, AZ 85375
(623) 975-1660
✔ PECOSSame address
Otolaryngology
NPI 1962486027
10503 W THUNDERBIRD BLVD STE 104
Sun City, AZ 85351
(623) 975-1660
✔ PECOS✔ Accepts Medicare6.4 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 Arizona Ear Nose And Throat Physicians PLLC's NPI number?

The NPI number for Arizona Ear Nose And Throat Physicians PLLC is 1730365958. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is Arizona Ear Nose And Throat Physicians PLLC located?

Arizona Ear Nose And Throat Physicians PLLC is located at 14510 W Shumway Dr Ste 101, Sun City West, AZ 85375. The listed phone number is (623) 975-1660.

What is Arizona Ear Nose And Throat Physicians PLLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist with taxonomy code 235500000X.

Is Arizona Ear Nose And Throat Physicians PLLC enrolled in Medicare?

Yes. Arizona Ear Nose And Throat Physicians PLLC is registered in the Medicare PECOS enrollment system.

When is Arizona Ear Nose And Throat Physicians PLLC'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 November 30, 2026. 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 Arizona Ear Nose And Throat Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Arizona Ear Nose And Throat Physicians 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. The largest specialties are Otolaryngology (3) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Arizona Ear Nose And Throat Physicians PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Arizona Ear Nose And Throat Physicians PLLC 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 Arizona Ear Nose And Throat Physicians PLLC was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.