Individual provider Active NPI

Vanessa Gildenstern, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1508190133
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43311 Issued in AZ
Practice address
1919 E Thomas Rd
Main Building
Phoenix, AZ 85016-7710
Phone
(602) 933-0895
Fax
(602) 933-0628
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X 43311 AZ
Pediatrics Physician 208000000X 43311 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Main Building
Phoenix, AZ 85016-7710

Mailing address

2108 E Thomas Rd BLDG 2ND
Phoenix, AZ 85016-7761
Phone (602) 933-0895

Other names 1

  • Vanessa Gildenstern Professional name

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
I20120313000759 AZ Practitioner - DermatologyPractitioner - Pediatric Medicine 5698934511 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43311AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Hospital Pediatrics CurrentSince Jan 26, 2012 Accepting new patients
Phoenix Children's Medical Group CurrentSince Jan 26, 2012 Accepting new patients
Omni Dermatology Incorporated Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Phoenix Children's Hospital Hope Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

11851 N 51st Ave
Ste E130
Glendale, AZ 85304
Phone (623) 253-9814

9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

4801 E McDowell Rd
Phoenix, AZ 85008
Phone (480) 315-1140

4840 E Indian School Rd
Ste 102
Phoenix, AZ 85018
Phone (602) 954-3919

2108 E Thomas Rd
Bldg 2ND
Phoenix, AZ 85016

4801 E McDowell Rd
Ste 150
Phoenix, AZ 85008

4801 E McDowell Rd
Ste 150
Phoenix, AZ 85008
Phone (602) 954-3919

9305 W Thomas Rd
Ste 305
Phoenix, AZ 85037
Phone (623) 271-9323

1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1919 E Thomas Rd
Bldg 2ND
Phoenix, AZ 85016
Phone (602) 933-0895

4515 S McClintock Dr
Ste 101
Tempe, AZ 85282
Phone (480) 775-8460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6619/brand/1/csg/1/fhir/r4

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1508190133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD BLDG 2ND",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167761",
            "telephone_number": "602-933-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "address_2": "MAIN BUILDING",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-0895",
            "fax_number": "602-933-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDENSTERN",
        "first_name": "VANESSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "AZ",
            "license": "43311",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "43311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GILDENSTERN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.