GREATER PHOENIX COLLABORATIVE CARE PC
GREATER PHOENIX COLLABORATIVE CARE PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1750686614, based in Phoenix, AZ. It is classified under Clinic/Center.
Getting there
The practice address on file is 8041 N BLACK CANYON HWY, Phoenix, AZ 85021. 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
| Licence | State | Specialty |
|---|---|---|
| OTC 4998 | AZ | Clinic/Center primary |
This provider holds licence OTC 4998 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0941503304
Enrolled in Medicare 15 times, across 15 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Arizona | O20160120000300 | Part B Supplier - Clinic/group Practice |
| Illinois | O20231004002283 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20231023000026 | Part B Supplier - Clinic/group Practice |
| Washington | O20231102002935 | Part B Supplier - Clinic/group Practice |
| Florida | O20231110000215 | Part B Supplier - Clinic/group Practice |
| Ohio | O20231201001250 | Part B Supplier - Clinic/group Practice |
| Louisiana | O20231201002092 | Part B Supplier - Clinic/group Practice |
| Michigan | O20231204001619 | Part B Supplier - Clinic/group Practice |
| Virginia | O20240123003736 | Part B Supplier - Clinic/group Practice |
| California | O20240202001019 | Part B Supplier - Clinic/group Practice |
| Colorado | O20240415003642 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20240514002240 | Part B Supplier - Clinic/group Practice |
| Idaho | O20240531003601 | Part B Supplier - Clinic/group Practice |
| Nevada | O20240620000588 | Part B Supplier - Clinic/group Practice |
| Mississippi | O20260518003808 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 15 separate enrolment records across 15 states (AZ, IL, PA, WA, FL, OH, LA, MI, VA, CA, CO, TN, ID, NV, MS). 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 Clinic/Center covers
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
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 | 1750686614 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 24, 2011 |
| Last updated | May 30, 2024 |
| Status | Active |
| Practice address |
8041 N BLACK CANYON HWY Phoenix, AZ 85021 (602) 249-0115 |
| Mailing address |
PO BOX 35380 MEDICAL STAFF- CREDENTIALING DEPT. Las Vegas, NV 89133 |
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 | 7 | 5 | 0 | 6 | 8 | 6 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 3 | 8 | 3 | 6 | 2 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
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.