Himanshu Raj Ullal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455

Phone

(928) 793-3747

Fax

(928) 793-3745

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

92.44 of 100Reported as group

Quality

100

Promoting interoperability

96

Improvement activities

40

Cost

73.64

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Abdul Memon, MD, PLLC

  dba Cardiovascular Associates of Arizona

  • Cardiovascular Disease Physician
  • Globe, AZ
  • NPI 1760622344
  Medicare reassignment
• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Medicare reassignment
• Emergency Professional Services PC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1518984210
  Medicare reassignment
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233
  NPD
• Cobre Valley Regional Medical Center

  dba Cobre Valley Family Practice

  • Rural Health Clinic/Center
  • Globe, AZ
  • NPI 1962896167
  NPD
• Emergency Professional Services PC

  • Emergency Medicine Physician
  • Apache Junction, AZ
  • NPI 1205273406

  Physician Assistant

  NPD
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Phoenix Neurological Institute, Inc

  dba Phoenician Behavioral Health

  • Neurology Physician
  • Chandler, AZ
  • NPI 1336319086
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1851863476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E ASH ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011430",
            "telephone_number": "928-812-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLAL",
        "first_name": "HIMANSHU",
        "middle_name": "RAJ",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Thygerson, CRNA
• Leila Ono-Malhado Todd, MD
• Tranquilized Anesthesia LLC
• Trinity Hospice of Phoenix, LLC
• Stephens R. Triplett, D.O.
• V a Home Health 3 Inc
• V a Hospice 3 Inc
• VM Health Initiatives LLC
• W. Bruce Bucklew, MD, PLLC
• Bradley H Werrell, DO

• Physician Assistant in Globe, AZ
• Providers in Globe, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.

Verify at the official NPI Registry.