Individual provider Active NPI

Marianne De Lima, MD

  • Neurology Physician
  • Chandler, AZ
National Provider Identifier
1346683794
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
53590 Issued in AZ
Practice address
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone
(480) 800-4890
Fax
(480) 427-4766
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 53590 AZ
Neurology Physician 2084N0400X 53590 AZ Primary

Addresses

Primary practice location

2201 W Fairview St Ste 1
Chandler, AZ 85224-4712

Mailing address

2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

Other identifiers 1

IdentifierTypeStateIssuer
520819MedicaidAZ

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
I20190611001486 AZ Practitioner - Neurology 6305148156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates of the East Valley PLCGroup PAC ID 1850607151, 12 clinicians

Practice addresses (Care Compare)

2201 W Fairview St
Suite 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.22 of 100Reported as individual
Quality
48.81
Improvement activities
40
Cost
72.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of the East Valley, PLC Neurology CurrentSince Jul 1, 2019 Accepting new patients

Locations

2201 W Fairview St
Ste 1
Chandler, AZ 85224
Phone (480) 389-2798

3308 N Higley Rd
Ste 103
Mesa, AZ 85215
Phone (480) 800-4890

Interoperability endpoints

  • Direct secure messaging: marianne.de.lima.1@30730.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1346683794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LIMA",
        "first_name": "MARIANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "53590",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "53590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520819",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.