Organization Active NPI

The Wellness Medical Clinic PC

  • Primary Care Clinic/Center
  • Chandler, AZ
National Provider Identifier
1750409678
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34235 Issued in AZ
Legal business name
THE WELLNESS MEDICAL CLINIC PC
Practice address
1880 W Frye Rd
Ste 1
Chandler, AZ 85224-6234
Phone
(480) 821-5500
Fax
(480) 821-5502
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Ammar Alsheikh, M.D.NPI 1083609515
Title
Physician
Phone
(480) 821-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34235 AZ Primary

Addresses

Primary practice location

1880 W Frye Rd
Ste 1
Chandler, AZ 85224-6234

Mailing address

1880 W Frye Rd
Ste 1
Chandler, AZ 85224-6234
Phone (480) 821-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070413000074 AZ Part B Supplier - Clinic/Group Practice 0941305346 Receives reassigned benefits from 3 practitioners
Practice locations: Chandler, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0969565Wellness Medical Clinic1880 W Frye Rd, Ste 1, Chandler, AZ 85224Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

600 S Dobson Rd
Ste D31
Chandler, AZ 85224
Phone (480) 821-5500

1880 W Frye Rd
Ste 1
Chandler, AZ 85224
Phone (480) 395-9370

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1750409678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W FRYE RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246234",
            "telephone_number": "480-821-5500",
            "fax_number": "480-821-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W FRYE RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246234",
            "telephone_number": "480-821-5500",
            "fax_number": "480-821-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "ALSHEIKH",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-821-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "34235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.