Individual provider Active NPI

Hannah Tilden

  • Obstetrics Physician
  • Phoenix, AZ
National Provider Identifier
1104280593
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
008496 Issued in AZ
Practice address
33300 N 32ND Ave Ste And205
Phoenix, AZ 85085-8823
Phone
(623) 300-9100
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 008496 AZ Primary

Addresses

Primary practice location

33300 N 32ND Ave Ste And205
Phoenix, AZ 85085-8823

Mailing address

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone (602) 678-1500

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
I20200923002829 AZ Practitioner - Obstetrics/Gynecology 4688093750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

33300 N 32ND Ave
Suite 205
Phoenix, AZ 85085-8877
Phone (602) 962-0071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008496AZMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Dec 31, 2023 Accepting new patients
Desert West Obstetrics & Gynecology LTD Obstetrics & Gynecology CurrentSince Sep 15, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 31, 2023 Accepting new patients
Honorhealth Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

6678 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 678-1500

7787 W Deer Valley Rd
Ste 296
Peoria, AZ 85382
Phone (602) 978-1500

33423 N 32nd Ave
Ste 2200
Phoenix, AZ 85085
Phone (480) 398-1550

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: hannah.tilden.p1@direct.dwobgyn.nextgenshare.com
  • Direct secure messaging: htilden401191@direct.honorhealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1104280593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-678-1500",
            "fax_number": "602-978-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 N 32ND AVE STE AND205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858823",
            "telephone_number": "623-300-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILDEN",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "008496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.