MODERN SPORTS MEDICINE LLC
MODERN SPORTS MEDICINE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1285295089, based in Sun Lakes, AZ. The organization lists 4 taxonomy classifications, with Sports Medicine (Physical Medicine & Rehabilitation) Physician recorded as primary.
Getting there
The practice address on file is 10450 E RIGGS RD STE 104, Sun Lakes, AZ 85248. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6800228479
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Arizona | O20191120000879 | Part B Supplier - Clinic/group Practice |
| Arizona | O20200127000761 | Dme Supplier - Independently-practicing Physical Therapist |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Medicine covers
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NUCC Health Care Provider Taxonomy, code 2081S0010X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine | — | — | primary |
| 207QS0010X | Sports Medicine (Family Medicine) Physician Sports Medicine | — | — | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 225100000X | Physical Therapist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1285295089 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 24, 2019 |
| Last updated | Aug 19, 2025 |
| Status | Active |
| Practice address |
10450 E RIGGS RD STE 104 Sun Lakes, AZ 85248 (502) 415-2836 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 2 | 9 | 5 | 0 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 4 | 9 | 1 | 0 | 7 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.