Individual provider Active NPI

Linda-Michelle Ledesma, D.O.

  • General Practice Physician
  • Goodyear, AZ
National Provider Identifier
1801181581
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
006241 Issued in AZ
Practice address
3328 N Litchfield Rd
Goodyear, AZ 85395-3198
Phone
(623) 239-0394
Fax
(623) 536-5813
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 006241 AZ Primary

Addresses

Primary practice location

3328 N Litchfield Rd
Goodyear, AZ 85395-3198

Mailing address

1250 S Clearview Ave
Suite 100
Mesa, AZ 85209-3378
Phone (480) 988-9108

Other identifiers 1

IdentifierTypeStateIssuer
859045MedicaidAZ

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
I20131115000091 AZ Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Other (Physician) 0446486765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Feb 21, 2018 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Feb 21, 2018 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients

Locations (25 of 44)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

1979 W Ray Rd
Chandler, AZ 85224
Phone (480) 821-9404

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

3160 E Queen Creek Rd
Ste 104
Gilbert, AZ 85297
Phone (480) 889-1157

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

4232 W Bell Rd
Ste C1
Glendale, AZ 85308
Phone (602) 639-4535

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1955 W Guadalupe Rd
Ste 101
Mesa, AZ 85202
Phone (480) 827-5620

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1801181581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE",
            "address_2": "SUITE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853953198",
            "telephone_number": "623-239-0394",
            "fax_number": "623-536-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "LINDA-MICHELLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "006241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.