Individual provider Active NPI

Deryl R Lamb, MD

  • Family Medicine Physician
  • Queen Creek, AZ
National Provider Identifier
1811923758
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21010 Issued in AZ
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
327800MedicaidAZ

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
I20050509001046 AZ Practitioner - Family Practice 7719927953 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Schultz, LLC. CurrentSince Nov 5, 2025 Accepting new patients
Lamb Home Medical Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Wound Care Consultants U S LLC PastSince Oct 29, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBEFCD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.