Individual provider Active NPI

Paul Russell Hilmo, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1982009437
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5844 Issued in AZ
Practice address
6135 N 35TH Ave Ste 117
Phoenix, AZ 85017-1951
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Oct 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5844 AZ Primary

Addresses

Primary practice location

6135 N 35TH Ave Ste 117
Phoenix, AZ 85017-1951

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150109000083 AZ Practitioner - Physician Assistant 5698098184 Reassigns benefits to 2 organizations
I20180516002886 FL Practitioner - Physician Assistant 5698098184 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

1121 S Higley Rd
Suite 106
Mesa, AZ 85206-2855
Phone (480) 677-8282

1495 N Higley Rd
Suite 104
Gilbert, AZ 85234-1635
Phone (480) 677-8282

17063 W Greenway Rd
Suite 102
Surprise, AZ 85388-9605
Phone (480) 677-8282

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

6135 N 35TH Ave
Suite 117
Phoenix, AZ 85017-1951
Phone (480) 677-8282

6661 W Bell Rd
Suite 106B
Glendale, AZ 85308-3697
Phone (480) 677-8282

7448 W Glendale Ave
Suite C 140
Glendale, AZ 85303-2575
Phone (480) 677-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5844AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC Urgent Care CurrentSince May 1, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 31, 2024 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Urgent Care CurrentSince May 1, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 31, 2024 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients
Desert Mountain Health Past Accepting new patients
Livn, P.C. Past Accepting new patients
Solantic of Jacksonville, LLC Urgent Care PastSince Sep 5, 2021 Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

5045 W Baseline Rd
Ste 110
Laveen, AZ 85339
Phone (602) 273-7373

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

6135 N 35th Ave
Ste 117
Phoenix, AZ 85017

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: philmo26560@mydrnow.gardenplot.direct-ci.com
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1982009437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 N 35TH AVE STE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171951",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILMO",
        "first_name": "PAUL",
        "middle_name": "RUSSELL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.