Individual provider Active NPI

Melanie Denise Deyoung, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1467406264
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2872 Issued in AZ
Practice address
1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone
(833) 924-2002
NPI assigned
May 19, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2872 AZ Primary
Surgical Physician Assistant 363AS0400X 2872 AZ

Addresses

Primary practice location

1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625

Mailing address

1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone (833) 924-2002

Other identifiers 1

IdentifierTypeStateIssuer
813594MedicaidAZ

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
I20050505000724 AZ Practitioner - Physician Assistant 4981644267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricity Colo-Rectal Surgery LTDGroup PAC ID 5698759272, 4 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

1900 N Higley Rd
Banner Health Clinic
Gilbert, AZ 85234-1604
Phone (480) 543-2688

1920 N Higley Rd
Gilbert, AZ 85234-1625

2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2336
Phone (480) 835-5302

9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Colo-Rectal Surgery LTD CurrentSince Sep 21, 2021 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 1, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jan 1, 2022 Accepting new patients
Prime Surgical Assisting, LLC Surgical CurrentSince Feb 1, 2006 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 1, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC Past Accepting new patients
Surgical Physicians Assistants Inc Surgical Past Accepting new patients
Surgical Professionals, Inc Past Accepting new patients

Locations

1920 N Higley Rd
Ste 306
Gilbert, AZ 85234
Phone (480) 543-2606

1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600

2223 E Baseline Rd
Ste A
Gilbert, AZ 85234
Phone (480) 461-2788

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

2000 E Southern Ave
Ste 105
Tempe, AZ 85282
Phone (469) 998-7443

Interoperability endpoints

  • Direct secure messaging: mdeyoung@direct.uspi.com
  • Direct secure messaging: mdeyoung@tcs.gwaydirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1467406264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD STE 308",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341625",
            "telephone_number": "833-924-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD STE 308",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341625",
            "telephone_number": "833-924-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "MELANIE",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2872",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.