Individual provider Active NPI

Debora Villa, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1801850623
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AZ15289 Issued in AZ
Practice address
4045 E Bell Rd
Suite 105
Phoenix, AZ 85032-2236
Phone
(602) 923-6666
Fax
(602) 923-7676
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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 AZ15289 AZ Primary

Addresses

Primary practice location

4045 E Bell Rd
Suite 105
Phoenix, AZ 85032-2236

Mailing address

11000 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85254-6130
Phone (480) 455-3000

Other identifiers 2

IdentifierTypeStateIssuer
AZ0730250OtherAZBLUE CROSS BLUE SHIELD
1Z3957OtherAZHEALTHNET

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
I20110106001224 AZ Practitioner - Internal Medicine 5991697286 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ15289AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Nov 30, 2015 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 30, 2015 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Internal Medicine CurrentSince Nov 30, 2015 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Nov 30, 2015 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

18404 N Tatum Blvd
Ste 102
Phoenix, AZ 85032
Phone (602) 485-7421

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 8

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1801850623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "602-923-6666",
            "fax_number": "602-923-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "DEBORA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "AZ15289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0730250",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z3957",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.