Active NPI
Tri City Endocrinology PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Mesa, AZ
National Provider Identifier
1316612146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- TRI CITY ENDOCRINOLOGY PLLC
- Practice address
- 1520 S Dobson Rd Ste 218
Mesa, AZ 85202-4754 - Phone
- (480) 626-8737
- NPI assigned
- Aug 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manal Alhakim, MD
- Title
- Member Manager
- Phone
- (480) 626-8737
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
1520 S Dobson Rd Ste 218
Mesa, AZ 85202-4754
Mailing address
1520 S Dobson Rd Ste 218
Mesa, AZ 85202-4754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Mesa, AZ
- NPI 1699055566
Single Specialty
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- Pulmonary Disease Physician
- Tempe, AZ
- NPI 1124084280
-
- Acute Care Nurse Practitioner
- Chandler, AZ
- NPI 1255955282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1316612146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD STE 218",
"city": "MESA",
"state": "AZ",
"postal_code": "852024754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD STE 218",
"city": "MESA",
"state": "AZ",
"postal_code": "852024754",
"telephone_number": "480-626-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI CITY ENDOCRINOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A",
"authorized_official_last_name": "ALHAKIM",
"authorized_official_first_name": "MANAL",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "480-626-8737",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"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, 2021; 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.