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DR. ALEXANDER JOHN VANDETTA MD
NPI 1831879279
Student in an Organized Health Care Education/Training Program in Scottsdale, AZ

Active since July 20, 2023PECOS Enrolled
7400 E OSBORN RD, SCOTTSDALE, AZ 85251(480) 882-4000 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Apr 7, 2025, Jul 20, 2023 (3 updates tracked since 2023).

About Dr. Alexander John Vandetta Md NPPES

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

DR. ALEXANDER JOHN VANDETTA MD (NPI 1831879279) is an individual student in an organized health care education/training program in Scottsdale, Arizona and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1831879279
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEXANDER JOHN VANDETTACredential: MD
Location Address7400 E OSBORN RDScottsdale, AZ 85251-6432
Mailing Address7400 E Osborn RdScottsdale, AZ 85251-6432 · (480) 882-4000
Phone(480) 882-4000
Sole ProprietorNo
Enumeration DateJuly 20, 2023
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1831879279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7400 E OSBORN RD, Scottsdale, AZ 85251
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Other Names 1

Other Name (5)Dr. Alec Van Detta Md

Secondary Practice Location 1

Location 127 S Mario Capecchi DrSalt Lake City, UT 84112-5888 · Phone (801) 860-3771

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander John Vandetta 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.

JANE ELIZABETH WORD
Nurse Practitioner (Acute Care)
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (480) 583-0500
DR. TYLER J GLENN M.D.
Internal Medicine (Critical Care Medicine)
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (480) 994-9838
DOUGLAS J. SMITH M.D.
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Maricopa County (480) 882-6359
MARWAH HAMDI AHMAD DO
Internal Medicine
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (602) 445-0751
DR. GREGORY WALTER SCHWEITZ M.D.
Emergency Medicine
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (480) 882-4809
HONORHEALTH AMBULATORY
Preventive Medicine (Undersea and Hyperbaric Medicine)
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (480) 882-6700
DEVON RAE COFFEY PHARMD
Pharmacist
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (480) 882-4000
MRS. ZORAIDA G. REYSSSER RPH
Pharmacist
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Maricopa County (480) 675-4000

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 Alexander Vandetta's NPI number?

The NPI number for Alexander Vandetta is 1831879279. It was assigned to this individual provider in the NPPES registry on July 20, 2023. The provider is also known as Dr. Alec Van Detta MD.

Where is Alexander Vandetta located?

Alexander Vandetta practices at 7400 E Osborn Rd, Scottsdale, AZ 85251. The listed phone number is (480) 882-4000.

What is Alexander Vandetta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Vandetta enrolled in Medicare?

Yes. Alexander Vandetta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Vandetta was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.