Individual provider Active NPI

Lara Ulm, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1598928780
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
49057 Issued in AZ
Practice address
11036 N 129TH Way
Scottsdale, AZ 85259-4400
Phone
(602) 694-6406
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 49057 AZ Primary

Addresses

Primary practice location

11036 N 129TH Way
Scottsdale, AZ 85259-4400

Mailing address

11036 N 129TH Way
Scottsdale, AZ 85259-4400
Phone (602) 694-6406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150806012407 AZ Practitioner - Pediatric Medicine 8426273699 Reassigns benefits to 2 organizations
I20260522002774 TX Practitioner - Pediatric Medicine 8426273699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

483 W Seed Farm Rd
Sacaton, AZ 85147-5000

PO Box
Sacaton, AZ 85147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49057AZMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jun 13, 2015 Accepting new patients
Phoenix Children'S Hospital Pediatrics CurrentSince Feb 3, 2020 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Feb 3, 2020 Accepting new patients
District Medical Group, Inc Current Accepting new patients

Locations

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

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3370 S Mercy Rd
Gilbert, AZ 85297
Phone (602) 933-0935

3370 S Mercy Rd
Ste 214
Gilbert, AZ 85297

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263

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

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

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

10250 N 92nd St
Ste 212
Scottsdale, AZ 85258
Phone (480) 551-5154

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1598928780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11036 N 129TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594400",
            "telephone_number": "602-694-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11036 N 129TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594400",
            "telephone_number": "602-694-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULM",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "49057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.