Active NPI
Warren E Hill, M.D.
- Ophthalmology Physician
- Mesa, AZ
National Provider Identifier
1104990506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0386310 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 28195701 | Medicaid | AZ | |
| 210386 | Other | AZ | SECURE HORIZON BPHO |
| 180036549 | Other | AZ | HILL RR MED INDIVIDUAL # |
| 1Z0479 | Other | AZ | HEALTHNET |
| CN9576 | Other | AZ | RR 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone (480) 981-6111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Outpatient Surgery, LLC | Current | Accepting new patients | |
| East Valley Ophthalmology, LTD | Ophthalmology | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1851946875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.