Active NPI
Hilda Flores-Vidal, M.D.
- Specialist
- Maricopa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31903
- Practice address
- 21300 N. John Wayne Pkwy
Unit 116 BLDG 7
Maricopa, AZ 85139-8978 - Phone
- (520) 423-9699
- Fax
- (520) 423-9599
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31903 | AZ | Primary |
Addresses
Primary practice location
21300 N. John Wayne Pkwy
Unit 116 BLDG 7
Maricopa, AZ 85139-8978
Mailing address
21300 N John Wayne Pkwy
Unit 116 BLDG 7
Maricopa, AZ 85139-8978
Phone (520) 423-9699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819005 | Other | AZ | AHCCCS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21300 N John Wayne Pkwy
Maricopa, AZ 85139-8978
Phone (520) 423-9699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31903 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidal Medical Office PLC | Current | Accepting new patients |
Locations
21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699
21300 N John Wayne Pkwy
Ste 11
Maricopa, AZ 85139
926 E McDowell Rd
Ste 125
Phoenix, AZ 85006
Phone (602) 254-3900
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.
-
- Adult Medicine Physician
- Maricopa, AZ
- NPI 1023112760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1376646810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21300 N JOHN WAYNE PKWY",
"address_2": "UNIT 116 BLDG 7",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851398978",
"telephone_number": "520-423-9699",
"fax_number": "520-423-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21300 N. JOHN WAYNE PKWY",
"address_2": "UNIT 116 BLDG 7",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851398978",
"telephone_number": "520-423-9699",
"fax_number": "520-423-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES-VIDAL",
"first_name": "HILDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "31903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "819005",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.