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DEYATRES DEWALT PA
NPI 1073225728
Physician Assistant in Mesa, AZ

Active since December 14, 2022PECOS Enrolled
1400 S DOBSON RD, MESA, AZ 85202(480) 256-7108 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Dec 20, 2022, Dec 14, 2022 (3 updates tracked since 2022).

About Deyatres Dewalt Pa NPPES

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

DEYATRES DEWALT PA (NPI 1073225728) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (10181) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073225728
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEYATRES DEWALTCredential: PA
Location Address1400 S DOBSON RDMesa, AZ 85202-4707
Mailing Address1400 S Dobson RdMesa, AZ 85202-4707 · (602) 900-7711
Phone(480) 256-7108
Sole ProprietorYes
Enumeration DateDecember 14, 2022
Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1073225728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 10181
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1400 S DOBSON RD, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deyatres Dewalt Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

VIREN PATEL PHARMD
Pharmacist
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-4250
DR. EMMANUEL A BAYONGAN M.D.
Internal Medicine (Critical Care Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. HEATHER ANNE LEINBACH PHARMD
Pharmacist (Pharmacotherapy)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-5616
DRAKE HERRING RRA
Radiology Practitioner Assistant
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-3773
SAVANNAH BABCOCK
Registered Nurse
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000
DR. HOLLY MCDANIEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 685-5211
CHARLES H PSHAENICH MD
Emergency Medicine
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 456-9500
MADHURI KASHYAP MD
Emergency Medicine (Pediatric Emergency Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000

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 Deyatres Dewalt's NPI number?

The NPI number for Deyatres Dewalt is 1073225728. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Deyatres Dewalt located?

Deyatres Dewalt practices at 1400 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 256-7108.

What is Deyatres Dewalt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Deyatres Dewalt enrolled in Medicare?

Yes. Deyatres Dewalt is registered in the Medicare PECOS enrollment system.

What insurance does Deyatres Dewalt accept?

Health plans from Blue Cross Blue Shield of Arizona list Deyatres Dewalt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deyatres Dewalt was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.