Individual provider Active NPI

Ian Pieroni, PA

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1144097122
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10623 Issued in AZ
Practice address
3303 E Baseline Rd Ste 208
Gilbert, AZ 85234-2728
Phone
(480) 222-1102
NPI assigned
Dec 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10623 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd Ste 208
Gilbert, AZ 85234-2728

Mailing address

3303 E Baseline Rd Ste 208
Gilbert, AZ 85234-2728
Phone (707) 771-0855

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905003243 AZ Practitioner - Physician Assistant 1254833551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Pulmonary and Sleep Consultants PLCGroup PAC ID 6002711272, 6 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

3303 E Baseline Rd
Suite 208
Gilbert, AZ 85234-2728
Phone (480) 962-1650

6343 S Higley Rd
Gilbert, AZ 85298-4339
Phone (480) 748-2712

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10623AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Pulmonary & Sleep Consultants PLC Current Accepting new patients

Locations

3303 E Baseline Rd
Ste 208
Gilbert, AZ 85234
Phone (480) 962-1650

Interoperability endpoints

  • Direct secure messaging: ian.pieronipac.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: ipieroni@dpsc.ssdirect.aprima.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1144097122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "707-771-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "480-222-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERONI",
        "first_name": "IAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.