Individual provider Active NPI

Tara Marie Iacono, RPA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1437308384
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6038 Issued in AZ
Practice address
890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127
Phone
(480) 818-6704
Fax
(480) 944-0871
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6038 AZ Primary

Addresses

Primary practice location

890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127

Mailing address

890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127
Phone (480) 818-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090410000069 NY Practitioner - Physician Assistant 5092862987 Reassigns benefits to 1 organization
I20160330001027 AZ Practitioner - Physician Assistant 5092862987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Center of America, LLCGroup PAC ID 7012308257, 9 clinicians

Practice addresses (Care Compare)

7600 N 15TH St
Suite 100
Phoenix, AZ 85020-4330
Phone (602) 704-2345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012592NYMDChiropractor
6038AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Workit Health Mi PLLC Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Bicycle Health Provider Group Inc. Multi-Specialty PastSince Dec 17, 2023 Accepting new patients

Locations

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

Organizations & group practices 6

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1437308384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335127",
            "telephone_number": "480-818-6704",
            "fax_number": "480-944-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335127",
            "telephone_number": "480-818-6704",
            "fax_number": "480-944-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACONO",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.