Individual provider Active NPI

Hilda Flores-Vidal, M.D.

  • Specialist
  • Maricopa, AZ
National Provider Identifier
1376646810
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31903 Issued in AZ
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

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
819005OtherAZAHCCCS

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
I20040217000909 AZ Practitioner - Internal Medicine 9234024456 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
31903AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vidal Medical Office PLC CurrentSince Dec 1, 2005 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.

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

Verify at the official NPI Registry.