Active NPI
Deryl R Lamb, MD
- Family Medicine Physician
- Queen Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21010
- Practice address
- 20713 E Ocotillo Rd
Queen Creek, AZ 85242-6117 - Phone
- (480) 882-9993
- Fax
- (480) 248-2375
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21010 | AZ | Primary |
Addresses
Primary practice location
20713 E Ocotillo Rd
Queen Creek, AZ 85242-6117
Mailing address
18709 E Via de Palmas
Queen Creek, AZ 85242-4043
Phone (480) 987-1776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327800 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3336 E Chandler Heights Rd
Suite 113
Gilbert, AZ 85298-4263
Phone (480) 440-8666
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Schultz, LLC. | Current | Accepting new patients | |
| Lamb Home Medical Care LLC | Current | Accepting new patients | |
| Wound Care Consultants U S LLC | Past | Accepting new patients |
Locations
3336 E Chandler Heights Rd
Ste 113
Gilbert, AZ 85298
Phone (480) 440-8666
10214 N Tatum Blvd
Ste B300
Phoenix, AZ 85028
Phone (480) 469-6866
4022 E Greenway Rd
Ste 11180
Phoenix, AZ 85032
Phone (866) 263-3820
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBEFCD
- deryl.lamb.1@5739.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Gilbert, AZ
- NPI 1780298018
-
dba Nurse Practitioner Consultants
- Nurse Practitioner
- Phoenix, AZ
- NPI 1942776646
-
- Nurse Practitioner
- Phoenix, AZ
- NPI 1093587024
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": "1183939200000",
"number": "1811923758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18709 E VIA DE PALMAS",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852424043",
"telephone_number": "480-987-1776",
"fax_number": "480-248-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20713 E OCOTILLO RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852426117",
"telephone_number": "480-882-9993",
"fax_number": "480-248-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "DERYL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "21010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327800",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.