Individual provider Active NPI

Yuliya P Vakulchik, DO

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1538658596
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009003 Issued in AZ
Practice address
1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone
(480) 668-1600
Fax
(480) 668-1615
NPI assigned
May 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 009003 AZ Primary

Addresses

Primary practice location

1435 S Alma School Rd
Chandler, AZ 85286-7144

Mailing address

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

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
I20210826002680 AZ Practitioner - Family PracticePractitioner - Hospitalist 5890190912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone (520) 233-2500

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 2, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Oct 1, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Oct 1, 2021 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 2, 2021 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1538658596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867144",
            "telephone_number": "480-668-1600",
            "fax_number": "480-668-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867144",
            "telephone_number": "480-668-1600",
            "fax_number": "480-668-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKULCHIK",
        "first_name": "YULIYA",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.