Archwell Health Professional Services of Arizona, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC

Practice address

4315 E Main St
Mesa, AZ 85205-8605

Phone

(480) 870-7500

Fax

(480) 906-2173

NPI assigned

Nov 2, 2021

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Moddesette

Title

Sr. Director, Managed Care Ops

Phone

(629) 224-1614

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Aminov

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
  • NPI 1992301923

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Matthew Bell, DO

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1073244323
  Medicare reassignment Care Compare group NPD
• Carrie Church, NP

  • Family Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1790231546
  Medicare reassignment Care Compare group NPD
• Marisela Frances Mariscal, MD

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1063075836
  Medicare reassignment Care Compare group NPD
• Ramla Abbas, M.D.

  • Hospitalist Physician
  • Plymouth, MA
  • NPI 1982193785

  AZ, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Natasha Nicole Harrison, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1770756173

  AZ

  Medicare reassignment Care Compare group NPD
• Lauren Elaine Maxham, M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1326347154

  AZ

  Medicare reassignment Care Compare group NPD
• Praseeda Akella, MD

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1396495503
  Medicare reassignment NPD
• Nneka Feora Anuligo, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1245438878
  Medicare reassignment NPD
• Maria Arganoza-Priess, DO

  • Family Medicine Physician
  • Williams, AZ
  • NPI 1336179415
  Medicare reassignment NPD
• Antenor Xavier Aviles, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1528668720
  Medicare reassignment NPD
• Jennifer Ann Banek, N.P.

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1255785481
  Medicare reassignment NPD

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1558026880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058605",
            "telephone_number": "480-870-7500",
            "fax_number": "480-906-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 W Bethany Home Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850191808",
            "country_code": "US",
            "telephone_number": "623-281-1258",
            "fax_number": "480-906-2175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 W Apache Trl Ste 4",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203963",
            "country_code": "US",
            "telephone_number": "480-870-7130",
            "fax_number": "480-906-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084504",
            "country_code": "US",
            "telephone_number": "602-858-4295",
            "fax_number": "480-906-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8913 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214206",
            "country_code": "US",
            "telephone_number": "602-858-4361",
            "fax_number": "480-906-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857134705",
            "country_code": "US",
            "telephone_number": "520-613-1001",
            "fax_number": "520-504-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5455 E Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124923",
            "country_code": "US",
            "telephone_number": "520-505-8912",
            "fax_number": "888-355-6926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6843 E Main St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852078207",
            "country_code": "US",
            "telephone_number": "480-870-7300",
            "fax_number": "480-906-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 E Southern Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045058",
            "country_code": "US",
            "telephone_number": "480-870-7400",
            "fax_number": "480-906-2174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2265 W Ina Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412650",
            "country_code": "US",
            "telephone_number": "520-702-3637",
            "fax_number": "855-576-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10050 W Bell Rd Ste 35",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853511290",
            "country_code": "US",
            "telephone_number": "623-281-1130",
            "fax_number": "480-906-2179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857113762",
            "country_code": "US",
            "telephone_number": "520-613-3001",
            "fax_number": "520-504-6481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 E Golf Links Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857301400",
            "country_code": "US",
            "telephone_number": "520-910-0207",
            "fax_number": "855-576-4748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 E Fort Lowell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192384",
            "country_code": "US",
            "telephone_number": "520-613-0001",
            "fax_number": "520-504-6482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17674 N Litchfield Rd",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742478",
            "country_code": "US",
            "telephone_number": "623-281-3001",
            "fax_number": "480-906-2180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9750 W Peoria Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853456108",
            "country_code": "US",
            "telephone_number": "623-281-1620",
            "fax_number": "480-906-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "MODDESETTE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SR. DIRECTOR, MANAGED CARE OPS",
        "authorized_official_telephone_number": "629-224-1614"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Gonzalez Arellano, FNP-C
• Jesus O Arellano, PHARMD

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.