Individual provider Active NPI

Leah Margaret Hillier, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1306318340
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56761 Issued in AZ
Practice address
1300 N 12TH St - Suite 500
Phoenix, AZ 85006
Phone
(480) 848-3188
Fax
(480) 655-2421
NPI assigned
Dec 31, 2018
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042.0013914 VT
Family Medicine Physician 207Q00000X 56761 AZ Primary
Family Medicine Physician 207Q00000X 101037 ZZ
Sports Medicine (Family Medicine) Physician 207QS0010X 56761 AZ
Sports Medicine (Family Medicine) Physician 207QS0010X 042.0013914 VT
Sports Medicine (Family Medicine) Physician 207QS0010X 101037 ZZ

Addresses

Primary practice location

1300 N 12TH St - Suite 500
Phoenix, AZ 85006

Mailing address

1300 N 12TH St - Suite 500
Phoenix, AZ 85006
Phone (480) 848-3188

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515003052 AZ Practitioner - Family PracticePractitioner - Sports Medicine 4688917545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner - University Primary Care Physicians LLCGroup PAC ID 2365746450, 45 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2850
Phone (602) 839-4567

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042.0013914VTMDSports Medicine (Family Medicine) Physician
101037ZZMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner -- University Primary Care Physicians LLC CurrentSince Mar 13, 2019 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 17, 2019 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 17, 2019 Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1300 N 12th St
Ste 605
Phoenix, AZ 85006
Phone (602) 239-4567

1300 N 12th St
Ste 605608
Phoenix, AZ 85006
Phone (602) 839-4567

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1306318340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST - SUITE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "480-848-3188",
            "fax_number": "480-655-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST - SUITE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "480-848-3188",
            "fax_number": "480-655-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIER",
        "first_name": "LEAH",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0013914",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "56761",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ZZ",
            "license": "101037",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "56761",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VT",
            "license": "042.0013914",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "ZZ",
            "license": "101037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.