Individual provider Active NPI

Dillian La Salle, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1659307569
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25273 Issued in AZ
Practice address
1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006-2609
Phone
(602) 251-3122
Fax
(602) 254-1226
NPI assigned
Jun 23, 2006
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25273 AZ Primary

Addresses

Primary practice location

1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006-2609

Mailing address

1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006-2609
Phone (602) 251-3122

Other identifiers 1

IdentifierTypeStateIssuer
381624MedicaidAZ

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
I20061106000116 AZ Practitioner - Internal Medicine 4284689308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M Zuhdi Jasser MD PCGroup PAC ID 0446214662, 7 clinicians

Practice addresses (Care Compare)

1010 E McDowell Rd
Suite 300
Phoenix, AZ 85006-2609
Phone (602) 251-3122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. CurrentSince May 21, 2018 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince May 21, 2018 Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Advanced Nuclear Cardiology PLLC Current Accepting new patients
M Zuhdi Jasser MD PC Internal Medicine CurrentSince Nov 15, 2020 Accepting new patients
Luzato Medical Group P.C. Internal Medicine Past Accepting new patients
Luzato Medical Group, P.C. Internal Medicine Past Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 251-3122

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1659307569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD",
            "address_2": "STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062609",
            "telephone_number": "602-251-3122",
            "fax_number": "602-254-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD",
            "address_2": "STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062609",
            "telephone_number": "602-251-3122",
            "fax_number": "602-254-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SALLE",
        "first_name": "DILLIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381624",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.