Individual provider Active NPI

David Carmine Testa, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1114331394
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54449 Issued in AZ
Practice address
1717 E Union Hills Dr Unit 1008
Phoenix, AZ 85024-3036
Phone
(480) 215-2693
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54449 AZ Primary

Addresses

Primary practice location

1717 E Union Hills Dr Unit 1008
Phoenix, AZ 85024-3036

Mailing address

1717 E Union Hills Dr Unit 1008
Phoenix, AZ 85024-3036
Phone (480) 215-2693

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
I20170824002979 AZ Practitioner - Internal Medicine 0547532558 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC Internal Medicine CurrentSince Jul 24, 2017 Accepting new patients
Saint Joseph Hospice LLC CurrentSince May 26, 2020 Accepting new patients
Passion Home Health LLC Current Accepting new patients

Locations

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Passion HospicePhoenix, AZ, CCN 031732 Hospice 5% Or Greater Direct Ownership Interest (50%)
W-2 Managing Employee
Nov 26, 2019
May 26, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1114331394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E UNION HILLS DR UNIT 1008",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243036",
            "telephone_number": "480-215-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E UNION HILLS DR UNIT 1008",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243036",
            "telephone_number": "480-215-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "DAVID",
        "middle_name": "CARMINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "54449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.