Organization Active NPI

Ultimate Integrated Patient Care PLLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1376085597
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ULTIMATE INTEGRATED PATIENT CARE PLLC
Practice address
3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909
Phone
(480) 718-5986
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Valarie Grogan, DONPI 1912085655
Title
Physician
Phone
(480) 718-5986

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909

Mailing address

3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909
Phone (480) 718-5986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416001449 AZ Part B Supplier - Clinic/Group Practice 9234569120 Receives reassigned benefits from 3 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory
Tax ID family
Ultimate Integrated Patient Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1376085597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516909",
            "telephone_number": "480-718-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516909",
            "telephone_number": "480-718-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE INTEGRATED PATIENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-718-5986",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.