Individual provider Active NPI

Warren E Hill, M.D.

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1104990506
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12866 Issued in AZ
Practice address
5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone
(480) 981-6111
Fax
(480) 985-2426
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12866 AZ Primary

Addresses

Primary practice location

5620 E Broadway Rd
Mesa, AZ 85206-1438

Mailing address

5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone (480) 981-6111

Other identifiers 6

IdentifierTypeStateIssuer
AZ0386310OtherAZBLUE CROSS BLUE SHIELD
28195701MedicaidAZ
210386OtherAZSECURE HORIZON BPHO
180036549OtherAZHILL RR MED INDIVIDUAL #
1Z0479OtherAZHEALTHNET
CN9576OtherAZRR MEDICARE GROUP NUMBER

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
I20051031000264 AZ Practitioner - Ophthalmology 6507883501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Ophthalmology LTD 7 clinicians

Practice addresses (Care Compare)

5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone (480) 981-6111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Outpatient Surgery, LLC Current Accepting new patients
East Valley Ophthalmology, LTD Ophthalmology CurrentSince Jul 1, 1966 Accepting new patients

Locations

5620 E Broadway Rd
Mesa, AZ 85206
Phone (480) 981-6111

7525 E Broadway Rd
Ste 6
Mesa, AZ 85208
Phone (480) 354-2911

Organizations & group practices 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1104990506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111",
            "fax_number": "480-985-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111",
            "fax_number": "480-985-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "WARREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "12866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0386310",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28195701",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZON BPHO",
            "identifier": "210386",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL RR MED INDIVIDUAL #",
            "identifier": "180036549",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z0479",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CN9576",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.