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DIVINE-FAVOUR ANENE MD
NPI 1801252796
General Practice in Phoenix, AZ

Active since January 07, 2016PECOS Enrolled
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 342-2000 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2019, Mar 29, 2018 (2 updates tracked since 2018).

About Divine-favour Anene Md NPPES

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

DIVINE-FAVOUR ANENE MD (NPI 1801252796) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (59202) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801252796
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDIVINE-FAVOUR ANENECredential: MD
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address6800 E Mayo BlvdPhoenix, AZ 85054-5617
Phone(480) 342-2000
Sole ProprietorNo
Enumeration DateJanuary 7, 2016
Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration
✔ NPI 1801252796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AZ · 59202
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
5777 E MAYO BLVD, Phoenix, AZ 85054
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divine-favour Anene 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.

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.

MEAGAN ELIZABETH TIBBO M.D.
Orthopaedic Surgery
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 515-6296
MISS AMY LETICIA BROWN PA-C
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
KRISTINA YANCEY
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-2000
KATHERINE ANNE LESPRON LMSW
Social Worker
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-4005
KASSANDRA HYDE APRN
Clinical Nurse Specialist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-3962
DIANA M BUI M.D.
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
JENNIFER S PALERMO P.A.
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
ALICIA CHEN M.D.
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000

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 Divine-favour Anene's NPI number?

The NPI number for Divine-favour Anene is 1801252796. It was assigned to this individual provider in the NPPES registry on January 7, 2016.

Where is Divine-favour Anene located?

Divine-favour Anene practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 342-2000.

What is Divine-favour Anene's specialty?

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

Is Divine-favour Anene enrolled in Medicare?

Yes. Divine-favour Anene is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Divine-favour Anene was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.