Individual provider Active NPI

Oliver Grey Waldrop, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1205879475
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
46900 Issued in AZ
Practice address
1510 E Flower St
Phoenix, AZ 85014-5656
Phone
(602) 530-6900
NPI assigned
Jun 14, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 18958 MS
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 46900 AZ Primary

Addresses

Primary practice location

1510 E Flower St
Phoenix, AZ 85014-5656

Mailing address

1510 E Flower St
Phoenix, AZ 85014-5656
Phone (602) 530-6900

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (833) 855-9973

Other identifiers 2

IdentifierTypeStateIssuer
002886714MedicaidMS
P00462351OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060906000185 MS Practitioner - Family Practice 9537163530 Reassigns benefits to 2 organizations
I20150902003315 AZ Practitioner - Family Practice 9537163530 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Supportive Care, LLCGroup PAC ID 6002083508, 5 clinicians

Practice addresses (Care Compare)

1510 E Flower St
Phoenix, AZ 85014-5656
Phone (602) 530-6900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
Singing River Health System CurrentSince Sep 1, 2018 Accepting new patients
Singing River Health System CurrentSince Sep 1, 2018 Accepting new patients
Apogee Medical Group Inc CurrentSince Jul 4, 2016 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 12, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Hospice of the Valley Family Medicine CurrentSince Sep 27, 2023 Accepting new patients
Hospice of the Valley Family Medicine CurrentSince Sep 27, 2023 Accepting new patients
Arizona Supportive Care, LLC CurrentSince May 10, 2024 Accepting new patients
Apogee Medical Group Inc CurrentSince Jul 4, 2016 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 12, 2023 Accepting new patients
Singing River Gulfport CurrentSince Sep 1, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 20, 2021 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 20, 2021 Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

8088 W Whitney Dr
Ste 2A
Peoria, AZ 85345
Phone (833) 855-9973

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

26224 N Tatum Blvd
Ste 5
Phoenix, AZ 85050
Phone (480) 587-6775

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3535 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1111

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

Interoperability endpoints

  • Direct secure messaging: owaldrop261958@direct.valleywisehealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1205879475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "602-530-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "602-530-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "833-855-9973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "OLIVER",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MS",
            "license": "18958",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "46900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002886714",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00462351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.