NPIMap

Organization Active NPI

Yadwinder S Dhillon MD PC

Doing business as AZ Wound

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1295964781
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YADWINDER S DHILLON MD PC
Doing business as
AZ Wound
Practice address
1450 S Dobson Rd Ste B122
Mesa, AZ 85202-4741
Phone
(480) 580-2001
NPI assigned
Jul 7, 2009
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Yadwinder Singh Dhillon, MDNPI 1609052430
Title
Ceo
Phone
(602) 314-4432

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1450 S Dobson Rd Ste B122
Mesa, AZ 85202-4741

Mailing address

1450 S Dobson Rd Ste B122
Mesa, AZ 85202-4741
Phone (602) 314-4432

Other practice location 1

1012 E Willetta St
Phoenix, AZ 85006-2749
Phone (602) 239-6040

Other practice location 2

1012 E Willetta St
Phoenix, AZ 85006-2749
Phone (602) 314-4432

Other practice location 3

2601 N 3rd St Ste 201A
Phoenix, AZ 85004-1186
Phone (602) 839-6484

Other names 1

  • AZ Wound Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000502 AZ Part B Supplier - Clinic/Group Practice 7113070269 Receives reassigned benefits from 10 practitioners
Practice locations: Gilbert, AZ; Mesa, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3800 S Alma School Rd
Ste 112
Chandler, AZ 85248
Phone (480) 907-7707

1450 S Dobson Rd
Ste 122B
Mesa, AZ 85202
Phone (602) 314-4432

1012 E Willetta St
Ste 1
Phoenix, AZ 85006

1111 E McDowell Rd
Bldg A
Phoenix, AZ 85006
Phone (602) 521-5968

2601 N 3rd St
Ste 201A
Phoenix, AZ 85004
Phone (480) 907-7707

3811 E Bell Rd
Ste 103
Phoenix, AZ 85032
Phone (480) 569-2729

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1295964781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD STE B122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024741",
            "telephone_number": "602-314-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD STE B122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024741",
            "telephone_number": "480-580-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 E Willetta St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062749",
            "country_code": "US",
            "telephone_number": "602-239-6040",
            "fax_number": "602-252-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 E Willetta St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062749",
            "country_code": "US",
            "telephone_number": "602-314-4432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 N 3rd St Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041186",
            "country_code": "US",
            "telephone_number": "602-839-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YADWINDER S DHILLON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "YADWINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-314-4432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Wound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.