Individual provider Active NPI

Natalia Nicole-Baum Desrosiers

  • Orthopaedic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1275248171
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9597 Issued in AZ
Practice address
1920 N Higley Rd
Gilbert, AZ 85234-1623
Phone
(480) 543-6700
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9597 AZ Primary

Addresses

Primary practice location

1920 N Higley Rd
Gilbert, AZ 85234-1623

Mailing address

1920 N Higley Rd
Gilbert, AZ 85234-1623
Phone (413) 222-0045

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securemessaging23@gmail.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518003136 AZ Practitioner - Physician Assistant 6608232590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

1125 S Alma School Rd
Suite 210
Chandler, AZ 85286-2811
Phone (480) 733-7300

1920 N Higley Rd
Suite 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700

6644 E Baywood Ave
Banner Health Clinic
Mesa, AZ 85206-1747
Phone (480) 321-2000

9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2023 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2023 Accepting new patients
Banner Physician Specialists Arizona LLC PastSince May 7, 2023 Accepting new patients
Banner Physician Super Specialists Arizona LLC PastSince May 7, 2023 Accepting new patients

Locations

1125 S Alma School Rd
Ste 210
Chandler, AZ 85286
Phone (480) 256-4900

1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

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 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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1275248171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341623",
            "telephone_number": "413-222-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341623",
            "telephone_number": "480-543-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "NATALIA",
        "middle_name": "NICOLE-BAUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "9597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securemessaging23@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "address_1": "1920 N Higley Rd",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852341623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.