Mario-Luis Islas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27281 Issued in AZ

Practice address

451 E University Dr
Tempe, AZ 85281-5390

Phone

(480) 965-3349

Fax

(480) 965-2269

NPI assigned

May 26, 2006

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Family Practice

Education

University of Arizona College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt River Pima-Maricopa Indian CommunityGroup PAC ID 6204078025, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mislas794933@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salt River Pima-Maricopa Indian Community

  dba Salt River Integrated Health Care

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1942668991

  TX

  Medicare reassignment Care Compare group NPD
• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831344035
  Medicare reassignment NPD
• Salt River Pima-Maricopa Indian Community

  dba Department of Health and Human Services

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1538583125
  NPD
• Valle del Sol, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1174345839
  NPD
• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1790966026
  NPD
• Arizona State University

  dba Arizona State University Health Services

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1629013263
  NPD (past)
• Las Fuentes Health Clinic

  • Clinic/Center
  • Guadalupe, AZ
  • NPI 1568559631
  NPD (past)
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1336654383
  NPD (past)
• Native Health

  dba Native American Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Guadalupe, AZ
  • NPI 1487443115
  NPD (past)
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075
  NPD (past)
• Native Health

  dba Native Health Mesa Pharmacy

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1770437006
  NPD (past)
• Native Health

  dba Native Health West Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1871384586
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1447206966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852872104",
            "telephone_number": "809-657-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E UNIVERSITY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815390",
            "telephone_number": "480-965-3349",
            "fax_number": "480-965-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAS",
        "first_name": "MARIO-LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironwood Medical Transportation LLC
• Scott Michael Isaac, MD
• Brooke Iseler, PT
• Margaret Joyce Iseler, LCSW
• Sameer Islam, PHARMD
• Brianna M Ison, DSW, LCSW
• Michael Israel
• It's All About You Behavioral Health LLC
• Itech Consulting Partners LLC
• Dustin Brant Ivanic, FNP-C

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.

Verify at the official NPI Registry.