Individual provider Active NPI

Lillia Rachel Siegel, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1457052565
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9731 Issued in AZ
Practice address
875 S Dobson Rd
Chandler, AZ 85224-5710
Phone
(480) 899-9800
Fax
(480) 899-2994
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 9731 AZ Primary

Addresses

Primary practice location

875 S Dobson Rd
Chandler, AZ 85224-5710

Mailing address

875 S Dobson Rd
Chandler, AZ 85224-5710
Phone (480) 899-9800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918001806 AZ Practitioner - Physician Assistant 0244694750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, shared by 11 NPIs, 117 clinicians
Southeast Valley Gastroenterology Consultants, P.C.Group PAC ID 9436142270, 32 clinicians

Practice addresses (Care Compare)

3830 E Van Buren St
Phoenix, AZ 85008-6920
Phone (602) 243-7277

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

875 S Dobson Rd
Chandler, AZ 85224-5710
Phone (480) 899-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9731AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1457052565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245710",
            "telephone_number": "480-899-9800",
            "fax_number": "480-899-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245710",
            "telephone_number": "480-899-9800",
            "fax_number": "480-899-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LILLIA",
        "middle_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.