Active NPI
Lexine M Hebets, MD
- Obstetrics & Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1184629370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24414
- Practice address
- 11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092 - Phone
- (480) 285-2180
- Fax
- (480) 285-2182
- NPI assigned
- Jun 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24414 | AZ | Primary |
Addresses
Primary practice location
11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092
Mailing address
11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092
Phone (480) 285-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461517 | Medicaid | AZ |
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 |
|---|---|---|---|---|
| I20070824000086 | AZ | Practitioner - Obstetrics/Gynecology | 9739271503 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan del Sordi Staats, DO PLLC | Family Medicine | Current | Accepting new patients |
| Premier Pain & Wellness | Past | Accepting new patients |
Locations
11209 N Tatum Blvd
Ste 160
Phoenix, AZ 85028
Phone (480) 285-2180
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1649776105
-
- Pain Medicine Physician
- Peoria, AZ
- NPI 1457035370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1184629370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283092",
"telephone_number": "480-285-2180",
"fax_number": "480-285-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283092",
"telephone_number": "480-285-2180",
"fax_number": "480-285-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBETS",
"first_name": "LEXINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "24414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "461517",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.