Organization Active NPI

Prodigee Hospitalists P.C.

  • Hospitalist Physician
  • Mesa, AZ
National Provider Identifier
1932316882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
22015 Issued in AZ
Legal business name
PRODIGEE HOSPITALISTS P.C.
Practice address
4711 E Falcon Dr
Suite 355
Mesa, AZ 85215-2593
Phone
(480) 357-2048
Fax
(480) 358-9286
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donald J Velarde, M.D.NPI 1467449215
Title
Owner
Phone
(480) 357-2048

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 22015 AZ Primary

Addresses

Primary practice location

4711 E Falcon Dr
Suite 355
Mesa, AZ 85215-2593

Mailing address

4711 E Falcon Dr
Suite 355
Mesa, AZ 85215-2593
Phone (480) 357-2048

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932316882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 E FALCON DR",
            "address_2": "SUITE 355",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152593",
            "telephone_number": "480-357-2048",
            "fax_number": "480-358-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 E FALCON DR",
            "address_2": "SUITE 355",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152593",
            "telephone_number": "480-357-2048",
            "fax_number": "480-358-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGEE HOSPITALISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-357-2048",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "22015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.