Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEROY PARKER IV PA
NPI 1073207478
Physician Assistant - Medical in Tempe, AZ

Active since June 07, 2023PECOS EnrolledAccepts Medicare Assignment
2145 E BASELINE RD STE 101, TEMPE, AZ 85283(480) 704-4411 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Jun 2, 2025, Jun 7, 2023 (3 updates tracked since 2023).

About Leroy Parker Iv Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEROY PARKER IV PA (NPI 1073207478) is an individual medical provider in Tempe, Arizona, licensed in Arizona (11287) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073207478
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLEROY PARKER IVCredential: PA
Location Address2145 E BASELINE RD STE 101Tempe, AZ 85283-1546
Mailing Address2145 E Baseline Rd Ste 101Tempe, AZ 85283-1546 · (480) 704-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 7, 2023
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
NPI 1073207478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 11287
2145 E BASELINE RD STE 101, Tempe, AZ 85283

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leroy Parker Iv Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345777629
PECOS Enrollment IDI20241227000881, I20251114003356
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2145 E BASELINE RD STE 101
TEMPE, AZ 85283
Nurse Practitioner
2145 E BASELINE RD STE 101
TEMPE, AZ 85283
Nurse Practitioner (Family)
2145 E BASELINE RD STE 101
TEMPE, AZ 85283
Clinic/Center (Urgent Care)
2145 E BASELINE RD STE 101
TEMPE, AZ 85283

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 Leroy Parker's NPI number?

The NPI number for Leroy Parker is 1073207478. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Leroy Parker located?

Leroy Parker practices at 2145 E Baseline Rd Ste 101, Tempe, AZ 85283. The listed phone number is (480) 704-4411.

What is Leroy Parker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Leroy Parker enrolled in Medicare?

Yes. Leroy Parker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leroy Parker was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.