Individual provider Active NPI

Jill A Mehlhaf, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1245201458
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
29715 Issued in AZ
Practice address
7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431
Phone
(602) 395-0718
Fax
(602) 277-8146
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 29715 AZ Primary

Addresses

Primary practice location

7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431

Mailing address

PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718

Other identifiers 1

IdentifierTypeStateIssuer
694176MedicaidAZ

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
I20041116000553 AZ Practitioner - Anesthesiology 5193789519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Sanford School of Medicine of University of South Dakota, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 362-3310

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince Nov 13, 2018 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients

Locations

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

20940 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 253-5660

6245 N 16th St
Phoenix, AZ 85016
Phone (602) 253-4271

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

Organizations & group practices 4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1245201458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 16TH ST",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204431",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLHAF",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "29715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694176",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.