Christopher Stalberg, MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25355 Issued in AZ

Legal business name

CHRISTOPHER STALBERG, MD, PLLC

Doing business as

Optum Primary Care

Practice address

14418 W Meeker Blvd
#210
Sun City West, AZ 85375-5291

Phone

(623) 544-8400

Fax

(623) 544-8989

NPI assigned

May 1, 2009

Last updated

Sep 2, 2023By 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

Emily Castillo X

Title

Regional Manager

Phone

(702) 480-2550

Specialties & licenses 1

Addresses

Other names 1

• Optum Primary Care Doing business as

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

Practitioners 7

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.

• Jalal M Abbas, M.D.

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1205895034
  Medicare reassignment NPD
• Dilip C Dhadvai, M.D.

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1497861181
  Medicare reassignment NPD
• Roxane M. Jueckstock, FNP-BC

  • Family Nurse Practitioner
  • Buckeye, AZ
  • NPI 1780044842

  Multi-Specialty

  Medicare reassignment NPD
• Theresa Krueger-Junk, NP

  • Family Nurse Practitioner
  • Sun City West, AZ
  • NPI 1225400500
  Medicare reassignment NPD
• Kishor D Mehta, MD

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1609878263
  Medicare reassignment NPD
• Rommel Paulo Mesola, M.D.

  • Adult Medicine Physician
  • Buckeye, AZ
  • NPI 1104979269
  Medicare reassignment NPD
• Kishlay Anand, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Peoria, AZ
  • NPI 1104984491

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693612800000",
    "number": "1689818874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD",
            "address_2": "SUITE 210",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755291",
            "telephone_number": "623-544-8400",
            "fax_number": "623-544-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD",
            "address_2": "#210",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755291",
            "telephone_number": "623-544-8400",
            "fax_number": "623-544-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER STALBERG, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "702-480-2550",
        "authorized_official_name_suffix": "X"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas T Chen, MD
• Naseem Chenel, MA OTR/L
• Cierra Nichole Chev, APRN, AGACNP
• Diksha Chhetri, MD
• Chelsea Christensen, CRNA
• Aubrey Jospeh Chung Jr., M.D.
• Christopher Scott Church, LAC
• Jocelyn Cipriano, RBT
• Aaron Timothy Clare, PA-C
• Lynne Marian Clark, MSW/LICSW/MFT

• Internal Medicine Physician in Sun City West, AZ
• Providers in Sun City West, 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 Sep 2, 2023; 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.