AZ MOBILE MEDICAL CLINIC LLC
NPI 1013766484
General Practice in Laveen, AZ
About Az Mobile Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZ MOBILE MEDICAL CLINIC LLC (NPI 1013766484) is a healthcare organization registered as a general practice in Laveen, Arizona and active in the NPI registry since May 2024. The organization lists John Richard Groff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Az Mobile Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Az Mobile Medical Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Az Mobile Medical Clinic LLC's NPI number?
The NPI number for Az Mobile Medical Clinic LLC is 1013766484. It was assigned to this organization in the NPPES registry on May 16, 2024.
Where is Az Mobile Medical Clinic LLC located?
Az Mobile Medical Clinic LLC is located at 3933 W Thurman Dr, Laveen, AZ 85339. The listed phone number is (602) 962-8755.
What is Az Mobile Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Az Mobile Medical Clinic LLC enrolled in Medicare?
Yes. Az Mobile Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Az Mobile Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Az Mobile Medical Clinic LLC, in Nurse Practitioner and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Az Mobile Medical Clinic LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Az Mobile Medical Clinic Llc · NPI 1013766484
General Practice organization in Laveen, Arizona. Organization record, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1013766484 (Entity type: Organization)
- **Enumerated:** May 16, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** John Groff, OWNER
## Practice location
- **Address:** 3933 W THURMAN DR, Laveen, AZ 85339-1232
- **Phone:** (602) 962-8755 · **Fax:** (602) 704-6002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Podiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013766484) · Data from the CMS NPPES public registry.