Organization Active NPI

Allergy & Immunology Specialists, LLC

Doing business as Allergy & Immunology Specialists, PLLC

  • Allergy Physician
  • Litchfield Park, AZ
National Provider Identifier
1265996102
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGY & IMMUNOLOGY SPECIALISTS, LLC
Doing business as
Allergy & Immunology Specialists, PLLC
Practice address
13575 W Indian School Rd Ste 200
Litchfield Park, AZ 85340-4906
Phone
(623) 512-4310
Fax
(623) 512-4311
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dr. Connie Hsu, MDNPI 1619916004
Title
Ceo
Phone
(623) 512-4310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

13575 W Indian School Rd Ste 200
Litchfield Park, AZ 85340-4906

Mailing address

13575 W Indian School Rd Ste 200
Litchfield Park, AZ 85340-4906
Phone (623) 512-4310

Other identifiers 1

IdentifierTypeStateIssuer
207K00000XOtherAZTAXONOMY CODE

Other names 1

  • Allergy & Immunology Specialists, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531000568 AZ Part B Supplier - Clinic/Group Practice 7214260538 Receives reassigned benefits from 5 practitioners
Practice locations: Litchfield Park, AZ; Glendale, AZ; Tempe, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

17560 N 75th Ave
Ste D240
Glendale, AZ 85308

5940 W Union Hills Dr
Ste A120
Glendale, AZ 85308
Phone (623) 512-4310

34406 N 27th Dr
Ste 172
Phoenix, AZ 85085
Phone (623) 512-4310

1947 Commerce Center Cir
Ste A
Prescott, AZ 86301
Phone (623) 512-4310

4951 S White Mountain Rd
Bldg A3
Show Low, AZ 85901

1155 W Rio Salado Pkwy
Ste B10
Tempe, AZ 85281

1155 W Rio Salado Pkwy
Ste B102
Tempe, AZ 85281
Phone (623) 512-4310

1155 W Rio Salado Pkwy
#B102
Tempe, AZ 85281

1155 W Rio Salado Pkwy
Ste 102
Tempe, AZ 85281

1155 W Rio Salado Pkwy
Tempe, AZ 85281

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1265996102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD STE 200",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404906",
            "telephone_number": "623-512-4310",
            "fax_number": "623-321-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD STE 200",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404906",
            "telephone_number": "623-512-4310",
            "fax_number": "623-512-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & IMMUNOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-512-4310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207K00000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Immunology Specialists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.