Individual provider Active NPI

Yvonne N Grassl, MD

  • Pediatrics Physician
  • Peoria, AZ
National Provider Identifier
1952372534
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37388 Issued in AZ
Practice address
9059 W Lake Pleasant Pkwy Ste E-540
Peoria, AZ 85382
Phone
(623) 322-3380
Fax
(623) 322-4399
NPI assigned
Jan 31, 2006
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 37388 AZ Primary

Addresses

Primary practice location

9059 W Lake Pleasant Pkwy Ste E-540
Peoria, AZ 85382

Mailing address

9059 W Lake Pleasant Pkwy Ste E-540
Peoria, AZ 85382
Phone (623) 322-3380

Other identifiers 2

IdentifierTypeStateIssuer
542185MedicaidAZ
4434635MedicaidMI

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
I20250604000078 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8123537800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37388AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Estrella Medical Center Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Maryvale Pediatric Clinic Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics PastSince Apr 1, 2021 Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics Pediatrics PastSince Dec 6, 2022 Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drgrassl@mvpkidscare.opdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1952372534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E-540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-322-3380",
            "fax_number": "623-322-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E-540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-322-3380",
            "fax_number": "623-322-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSL",
        "first_name": "YVONNE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "37388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542185",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434635",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.