Hillary Bernadette Derose-Caldera, MD
Individual provider Active NPI Internal Medicine Physician · Tempe, AZ
NPI 1972090777 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1972090777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 63978 (AZ)
- Practice address
- 5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849 - Phone
- (480) 894-2823
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arizona College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Honorhealth Medical Group, LLC
Practice addresses (Care Compare)
1840 S Stapley Dr
Suite 101
Mesa, AZ 85204-6682
Phone (800) 233-3264
18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900
36305 N Gantzel Rd
Suite 102
San Tan Valley, AZ 85140-7326
Phone (800) 233-3264
6220 W Bell Rd
Glendale, AZ 85308-3896
Hospital & facility affiliations
- Cobre Valley Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210830003189 | AZ | Practitioner - Internal Medicine | 7517363518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63978 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squaw Peak Family Physicians PC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current |
Accepting new patients | |
| Cigna Health Care of Arizona Inc | Current |
Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current |
Accepting new patients | |
| Honorhealth Medical Group, LLC | Current |
Accepting new patients | |
| Honorhealth Medical Group, LLC | Past | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
2870 W Apache Trl
Apache Junction, AZ 85120
Phone (480) 569-3230
4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000
1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500
10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030
9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100
18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900
1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999
36305 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 987-6900
20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 63978 | AZ | Yes |
Addresses
Primary practice location
5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849
Mailing address
5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849
Phone (480) 894-2823
Other providers in Tempe, AZ
- Brandon Dente
- Dentists of South Tempe, LLP
- Luke W Denton
- Diane Carol Derickson
- Scott Derner
- Dalton Derthick
- Sarah Derubeis
- Stephanie Joan Derusso
- Breda Dervisevic
- Christopher Derycke
All providers in Tempe, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.