NPIMap

Organization Active NPI

East Valley Diabetes & Endocrinology PLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gilbert, AZ
National Provider Identifier
1871887828
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
44679 Issued in AZ
Legal business name
EAST VALLEY DIABETES & ENDOCRINOLOGY PLC
Practice address
4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297-1506
Phone
(480) 782-9531
Fax
(480) 782-9530
NPI assigned
Jun 7, 2011
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dr. Devendra G Wadwekar, MDNPI 1174504534
Title
Physician Owner
Phone
(480) 782-9531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 44679 AZ Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297-1506

Mailing address

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297-1506
Phone (480) 782-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111007000205 AZ Part B Supplier - Clinic/Group Practice 1153593579 Receives reassigned benefits from 17 practitioners
Practice locations: Gilbert, AZ; Mesa, AZ; Phoenix, AZ; San Tan Valley, AZ
O20260115001706 AZ DME Supplier - Multi-Specialty - Physician 1153593579 Practice locations: Gilbert, AZ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2027266East Valley Diabetes & Endocrinology PLC4100 S Lindsay Rd BLDG 8 Ste 130, Gilbert, AZ 85297AccreditationApr 6, 2027

National Provider Directory

National Provider Directory

Locations

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

1450 S Dobson Rd
Ste 303A
Mesa, AZ 85202

1450 S Dobson Rd
Ste A303
Mesa, AZ 85202
Phone (480) 496-2651

36493 N Gantzel Rd
San Tan Valley, AZ 85140

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1871887828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD",
            "address_2": "STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971506",
            "telephone_number": "480-782-9531",
            "fax_number": "480-782-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD",
            "address_2": "STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971506",
            "telephone_number": "480-782-9531",
            "fax_number": "480-782-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY DIABETES & ENDOCRINOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADWEKAR",
        "authorized_official_first_name": "DEVENDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "480-782-9531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "44679",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.