NPIMap

Organization Active NPI

East Valley Diabetes & Endocrinology PLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1972464501
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EAST VALLEY DIABETES & ENDOCRINOLOGY PLC
Practice address
1450 S Dobson Rd Building a Ste 303
Mesa, AZ 85202
Phone
(480) 782-9531
Fax
(480) 782-9530
NPI assigned
Nov 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Devendra G Wadwekar, MDNPI 1174504534
Title
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1450 S Dobson Rd Building a Ste 303
Mesa, AZ 85202

Mailing address

4100 S Lindsay Rd Ste 130
Gilbert, AZ 85297-1508
Phone (480) 782-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115000569 AZ DME Supplier - Multi-Specialty - Physician 1153593579 Practice locations: Mesa, AZ

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Locations

920 E Williams Field Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 782-9531

1450 S Dobson Rd
Mesa, AZ 85202
Phone (408) 782-9531

2474 E Hunt Hwy
Ste 110
San Tan Valley, AZ 85143
Phone (480) 782-9531

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1972464501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971508",
            "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": "1450 S DOBSON RD BUILDING A STE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-782-9531",
            "fax_number": "480-782-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY DIABETES & ENDOCRINOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "WADWEKAR",
        "authorized_official_first_name": "DEVENDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-782-9531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.