Organization Active NPI

Valley Endocrine Associates, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mesa, AZ
National Provider Identifier
1316010978
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
VALLEY ENDOCRINE ASSOCIATES, P.C.
Practice address
217 S 63Rd St Ste 105
Mesa, AZ 85206-6106
Phone
(480) 981-8088
Fax
(480) 981-3883
NPI assigned
Nov 15, 2006
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Robert C Biesbroeck, M.D.NPI 1518933126
Title
President
Phone
(480) 981-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

217 S 63Rd St Ste 105
Mesa, AZ 85206-6106

Mailing address

217 S 63Rd St Ste 105
Mesa, AZ 85206-6106
Phone (480) 981-8088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408001290 AZ Part B Supplier - Clinic/Group Practice 7315931870 Receives reassigned benefits from 7 practitioners
Practice locations: Gilbert, AZ; Mesa, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0896772Valley Endocrine Assoc, PC217 S 63Rd St #105, Mesa, AZ 85206Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

3483 S Mercy Rd
Bldg 4
Gilbert, AZ 85297

1450 S Dobson Rd
#A202
Mesa, AZ 85202
Phone (602) 981-8088

217 S 63rd St
Ste 105
Mesa, AZ 85206
Phone (480) 981-8088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIAIAA

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1316010978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066106",
            "telephone_number": "480-981-8088",
            "fax_number": "480-981-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066106",
            "telephone_number": "480-981-8088",
            "fax_number": "480-981-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ENDOCRINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "BIESBROECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-981-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.