Individual provider Active NPI

Emily Edwards Inglhofer, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1174816730
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
006463 Issued in AZ
Practice address
20940 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-4265
Phone
(480) 607-0060
Fax
(480) 607-5809
NPI assigned
May 16, 2011
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 006463 AZ Primary

Addresses

Primary practice location

20940 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-4265

Mailing address

20940 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-4265
Phone (480) 607-0060

Other identifiers 1

IdentifierTypeStateIssuer
964258MedicaidAZ

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
I20140903001005 AZ Practitioner - Family Practice 1355569443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tiffany Nelson MD PLCGroup PAC ID 9436138708, 10 clinicians

Practice addresses (Care Compare)

20940 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-7273
Phone (480) 607-0060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Nelson MD PLC Family Medicine CurrentSince Aug 1, 2014 Accepting new patients

Locations

20940 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 607-0060

Interoperability endpoints

  • Direct secure messaging: emily.edwardsdo.p1@direct.desertridgefp.nextgenshare.com
  • Direct secure messaging: emily.inglhofer.1@29438.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/29438/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1174816730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-607-0060",
            "fax_number": "480-607-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-607-0060",
            "fax_number": "480-607-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLHOFER",
        "first_name": "EMILY",
        "middle_name": "EDWARDS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964258",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.