Individual provider Active NPI

Sherri Dille, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1073841466
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7155 Issued in AZ
Practice address
725 S Dobson Rd Ste 100
Chandler, AZ 85224
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
Nov 24, 2009
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008104 CO
Physician Assistant 363A00000X 7155 AZ Primary

Addresses

Primary practice location

725 S Dobson Rd Ste 100
Chandler, AZ 85224

Mailing address

20280 N 59TH Ave Ste 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8700

Other practice location 1

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-1213

Other practice location 2

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 512-3795

Other practice location 3

875 N Greenfield Rd Ste 105
Gilbert, AZ 85234
Phone (480) 963-1853

Other practice location 4

1647 E 18th St
Loveland, CO 80538-4209
Phone (970) 473-7900

Other identifiers 1

IdentifierTypeStateIssuer
434848MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181107001770 AZ Practitioner - Physician Assistant 7517211782 Reassigns benefits to 3 organizations
I20230907003471 CO Practitioner - Physician Assistant 7517211782

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 W Guadalupe Rd
Suite 202
Gilbert, AZ 85233-3327
Phone (602) 795-8700

7200 W Bell Rd
Suite F101
Glendale, AZ 85308-8535
Phone (602) 795-8700

725 S Dobson Rd
Suite 100
Chandler, AZ 85224-5676
Phone (602) 795-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008104COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Aug 8, 2023 Accepting new patients
Phoenix Children's Medical Group CurrentSince Dec 1, 2021 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Aug 8, 2023 Accepting new patients
Steward Radiology Physicians of Pennsylvania Inc Past Accepting new patients

Locations

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

201 W Guadalupe Rd
Ste 202
Gilbert, AZ 85233
Phone (602) 795-8701

875 N Greenfield Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 897-2727

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

14506 W Granite Valley Dr
#209
Sun City West, AZ 85375

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1073841466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167710",
            "country_code": "US",
            "telephone_number": "602-933-1213",
            "fax_number": "602-933-1214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024707",
            "country_code": "US",
            "telephone_number": "480-512-3795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 N Greenfield Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85234",
            "country_code": "US",
            "telephone_number": "480-963-1853",
            "fax_number": "480-963-1854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1647 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384209",
            "country_code": "US",
            "telephone_number": "970-473-7900",
            "fax_number": "970-473-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLE",
        "first_name": "SHERRI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008104",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.