NPIMap

Organization Active NPI

Yadwinder S Dhillon MD PC

  • 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
Practice address
1450 S Dobson Rd Ste B122
Mesa, AZ 85202-4741
Phone
(480) 580-2001
NPI assigned
Jul 7, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 37

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

View all 37

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

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

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

1012 E Willetta St
Ste 1
Phoenix, AZ 85006

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

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

Specialties & licenses 3

NPPES NPI Registry
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

NPPES NPI Registry

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

NPPES NPI Registry
  • AZ Wound Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2024.

{
    "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.