Individual provider Active NPI

Harolyn C Gilles, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1437478583
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11732 Issued in AZ
Practice address
14300 N Northsight Blvd
Suite 114
Scottsdale, AZ 85260-3672
Phone
(480) 227-1052
Fax
(480) 621-8573
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11732 AZ Primary

Addresses

Primary practice location

14300 N Northsight Blvd
Suite 114
Scottsdale, AZ 85260-3672

Mailing address

14300 N Northsight Blvd
Suite 114
Scottsdale, AZ 85260-3672
Phone (480) 227-1052

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
I20100728000988 AZ Practitioner - Family PracticePractitioner - Preventive Medicine 1456484427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Northwestern University Feinberg Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fusion Medical Care PLLCGroup PAC ID 4587095609, 3 clinicians

Practice addresses (Care Compare)

5900 N Granite Reef Rd
Suite 102
Scottsdale, AZ 85250-6280
Phone (602) 703-7275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11732AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Medical Care, PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Bella Healthcare LLC CurrentSince Jul 1, 2015 Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients
Mount Mederi LLC PastSince Aug 28, 2022 Accepting new patients

Locations

2919 S Ellsworth Rd
Ste 102
Mesa, AZ 85212
Phone (480) 354-2008

5900 N Granite Reef Rd
Ste 102
Scottsdale, AZ 85250
Phone (480) 482-7077

5900 N Granite Reef Rd
#S102
Scottsdale, AZ 85250

1001 E Warner Rd
Ste 107
Tempe, AZ 85284
Phone (480) 897-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBACD

Organizations & group practices 4

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1437478583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD",
            "address_2": "SUITE 114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603672",
            "telephone_number": "480-227-1052",
            "fax_number": "480-621-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD",
            "address_2": "SUITE 114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603672",
            "telephone_number": "480-227-1052",
            "fax_number": "480-621-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "HAROLYN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "11732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.