Diane L. Elmore, M.D.

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X

License

17601 Issued in AZ

Practice address

450 N Dobson Rd Ste 108
Mesa, AZ 85201-5278

Phone

(480) 456-9300

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Emergency MedicineAlso: General Practice, Hospice/Palliative Care

Education

University of Arizona College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.elmore.1@11818.direct.athenahealth.com

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.

• Circle the City

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1346588316

  AZ

  Medicare reassignment Care Compare group NPD
• Circle the City

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1144093972
  NPD
• Circle the City

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1679954184
  NPD
• Circle the City

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1487033247
  NPD (past)
• Hospice of the Southwest LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1568569846
  NPD (past)
• Hospice of the Southwest, LLC

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1982971255
  NPD (past)
• Scottsdale Pathology Consultants, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Scottsdale, AZ
  • NPI 1023086634
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1104889294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N DOBSON RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015278",
            "telephone_number": "480-456-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N DOBSON RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015278",
            "telephone_number": "480-456-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "DIANE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "17601",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "17601",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "17601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellsworth Foot and Ankle PLLC
• Ellsworth Physician Services
• Allison Ellsworth, LAMFT
• David T Ellsworth, D.P.M
• Christopher Elmore, MD
• Elmwood Group Homes
• Arthur William Elrey III, D.C.
• Lily Elsaleh
• Heinz J. Elsner, M.D.
• Hiba Eltahir

• Hospice and Palliative Medicine (Emergency Medicine) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hospice and Palliative Medicine (Emergency Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.