Individual provider Active NPI

Lurlyn V Pero, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023056728
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20737 Issued in AZ
Practice address
4400 N 32ND St
Suite 140
Phoenix, AZ 85018-3953
Phone
(602) 254-4424
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20737 AZ Primary

Addresses

Primary practice location

4400 N 32ND St
Suite 140
Phoenix, AZ 85018-3953

Mailing address

4400 N 32ND St
Suite 140
Phoenix, AZ 85018-3953
Phone (602) 254-4424

Other identifiers 2

IdentifierTypeStateIssuer
109307-02MedicaidAZ
109307MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000104 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 8820039050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Creighton University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

13995 W Statler Blvd
BLDG 1
Surprise, AZ 85374-5501
Phone (623) 478-3100

4375 E Irma LN
Phoenix, AZ 85050-4312
Phone (480) 890-5800

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Medical Specialists Past Accepting new patients

Locations

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

564 W 9th Pl
Ste 2
Mesa, AZ 85201
Phone (480) 412-6344

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

4200 E Camelback Rd
Ste 202
Phoenix, AZ 85018
Phone (602) 229-2150

4400 N 32nd St
Ste 140
Phoenix, AZ 85018
Phone (602) 254-1429

4720 E Greenway Rd
Phoenix, AZ 85032
Phone (602) 439-6000

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

4500 E Cotton Center Blvd
Phoenix, AZ 85040
Phone (602) 659-1100

15800 N Litchfield Rd
Ste 150
Surprise, AZ 85374
Phone (623) 478-3100

13995 W Statler Blvd
Bldg 1
Surprise, AZ 85374
Phone (623) 478-3100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1023056728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183953",
            "telephone_number": "602-254-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183953",
            "telephone_number": "602-254-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERO",
        "first_name": "LURLYN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109307-02",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109307",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.