Meily Arevalo
Individual provider Active NPI Internal Medicine Physician · Phoenix, AZ
NPI 1295255669 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1295255669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 60008 (AZ)
- Practice address
- 2525 E Roosevelt St
Phoenix, AZ 85008-4948 - Phone
- (602) 344-1015
- Fax
- (806) 743-3381
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maricopa County Special Health Care District
Practice addresses (Care Compare)
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1159
Hospital & facility affiliations
- Valleywise Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200810002181 | AZ | Practitioner - Internal Medicine | 0941571590 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60008 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa County Special Health Care District | Current |
Accepting new patients | |
| District Medical Group, Inc | Current |
Accepting new patients | |
| Maricopa County Special Health Care District | Current |
Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current |
Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Maricopa County Special Health Care District | Past | Accepting new patients |
Locations
33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008
2525 E Roosevelt St
Fl 1
Phoenix, AZ 85008
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
Interoperability endpoints
- marevaloacosta221637@direct.valleywisehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60008 | AZ | Yes |
Addresses
Primary practice location
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5560
Other providers in Phoenix, AZ
- Arete Sleep Therapy LLC
- Arete Sleep Therapy LLC
- Courtney Arevalo
- Elizabeth Arevalo
- Livia Migdalia Arevalo
- Brian D. Arey
- Argento Medical Group LLC
- Beth Ann Argerbright
- Katy Bryana Argo
- Gabriel Ramon Arguelles
All providers in Phoenix, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.