Diane E Hrdina, MD
Individual provider Active NPI Family Medicine Physician · Carefree, AZ
NPI 1043383441 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1043383441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35770 (AZ)
- Practice address
- 36800 N. Sidewinder Rd, Ste a-4
Carefree, AZ 85377 - Phone
- (480) 595-0431
- Fax
- (480) 595-2322
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carefree Internal Medicine PC
Practice addresses (Care Compare)
36800 N Sidewinder Rd
Unit A4
Carefree, AZ 85377-4303
Phone (480) 595-0431
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070409000116 | AZ | Practitioner - Family Practice | 7214823053 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35770 | AZ | MD | Family Medicine Physician |
| 36-108809 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carefree Internal Medicine, PC | Current |
Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36-108809 | IL | |
| Family Medicine Physician | 207Q00000X | 43699 | WI | |
| Family Medicine Physician | 207Q00000X | 35770 | AZ | Yes |
Addresses
Primary practice location
36800 N. Sidewinder Rd, Ste a-4
Carefree, AZ 85377
Mailing address
PO Box 5848
Carefree, AZ 85377-5848
Phone (480) 595-0431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196331 | Medicaid | AZ |
Other providers in Carefree, AZ
- Michelle Gavura
- Deborah K Gooch
- Jacqueline B Greenfield
- Health Solutions Center,PLLC
- Heritage at Carefree
- Judith A Ingalls IV
- Monica Marie Jensen
- Susanne Catherine Johnson
- Kenneth Kearns
- George Koukouves
All providers in Carefree, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.