Individual provider Active NPI

Louis Gerard Trunzo, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1922067545
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19585 Issued in AZ
Practice address
14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387
Phone
(602) 482-7311
Fax
(602) 482-7314
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19585 AZ Primary

Addresses

Primary practice location

14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387

Mailing address

14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387
Phone (602) 482-7311

Other identifiers 2

IdentifierTypeStateIssuer
001529OtherAZAHCCCS
001529MedicaidAZ

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
I20040128001082 AZ Practitioner - Pediatric MedicinePractitioner - Physical Medicine and Rehabilitation 6709783343 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19585AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. CurrentSince Apr 2, 2021 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Twin Pediatrics, P.C. Pediatrics Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

14045 N 7th St
Ste 2
Phoenix, AZ 85022
Phone (602) 482-7311

791 S 4th Ave
Ste B
Yuma, AZ 85364
Phone (928) 329-4322

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: louis-trunzo@northvalleypediatrics.e-mdsdirect.com
  • Direct secure messaging: admin@northvalleypediatrics.e-mdsdirect.com

Organizations & group practices 5

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1922067545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224387",
            "telephone_number": "602-482-7311",
            "fax_number": "602-482-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224387",
            "telephone_number": "602-482-7311",
            "fax_number": "602-482-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNZO",
        "first_name": "LOUIS",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "19585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "001529",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001529",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.