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CEB CAPITAL LLC
NPI 1073986212
Family Medicine in Phoenix, AZ

Active since November 10, 2015CLIA Certified · 2 labs
4502 W INDIAN SCHOOL RD, SUITE A-3, PHOENIX, AZ 85031(623) 247-0414(623) 247-0424 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Ceb Capital Llc NPPES

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

CEB CAPITAL LLC (NPI 1073986212) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Ivy Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073986212
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCEB CAPITAL LLC
Location Address4502 W INDIAN SCHOOL RD, SUITE A-3Phoenix, AZ 85031-2800
Mailing Address9150 W Indian School Rd, Suite 111bPhoenix, AZ 85037-2384 · (623) 247-2300 · Fax (623) 247-1939
Phone(623) 247-0414
Fax(623) 247-0424
Organization SubpartNo
Authorized OfficialIvy JonesOffice Manager · (623) 247-2300
Enumeration DateNovember 10, 2015
Last NPPES UpdateMarch 23, 20162 updates tracked since enumeration
✔ NPI 1073986212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4502 W INDIAN SCHOOL RD, Phoenix, AZ 85031
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ceb Capital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Ceb Capital LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner11
Family Practice2
General Practice1

Clinicians, nearest first (14)

Shu Yang, M.D.
General Practice
NPI 1457458267
4710 N 44TH ST
Phoenix, AZ 85018
(602) 840-3430
✔ PECOS0.7 mi
Bariduanen Nkol, FNP
Nurse Practitioner
NPI 1326508797
5060 N 19TH AVE STE 102
Phoenix, AZ 85015
(602) 702-6963
✔ PECOS✔ Accepts Medicare6.9 mi
William Mcginnis, FNP
Nurse Practitioner
NPI 1275591612
3536 W GLENDALE AVE
Phoenix, AZ 85051
(480) 618-0177
✔ PECOS9.3 mi
Renae Mitchell, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1205432705
17223 N CAVE CREEK RD UNIT 9
Phoenix, AZ 85032
(480) 738-3221
✔ PECOS✔ Accepts Medicare10 mi
Leah Echiverri, NP
Nurse Practitioner
NPI 1265663736
2815 S ALMA SCHOOL RD STE 112
Mesa, AZ 85210
(480) 221-2227
✔ PECOS✔ Accepts Medicare12 mi
Jodi Lay, FNP-C
Nurse Practitioner
NPI 1114450962
5700 W OLIVE AVE STE 102
Glendale, AZ 85302
(623) 387-3705
✔ PECOS12 mi
Deayrie Evans, NP
Nurse Practitioner
NPI 1114425386
6228 S 54TH LN
Laveen, AZ 85339
(602) 317-7427
✔ PECOS✔ Accepts Medicare13 mi
Kimberly Walls, MSN,FNP
Nurse Practitioner
NPI 1760996128
19829 N 27TH AVE
Phoenix, AZ 85027
(623) 516-4400
✔ PECOS✔ Accepts Medicare14 mi
Kaniz Islam, FNP, PMHNP
Nurse Practitioner
NPI 1366860843
5209 W SIESTA WAY
Laveen, AZ 85339
(602) 352-9898
✔ PECOS14 mi
Carolynn Eastin, FNP-BC
Nurse Practitioner
NPI 1386763019
7435 W CACTUS RD # A-125
Peoria, AZ 85381
(480) 677-8282
✔ PECOS✔ Accepts Medicare15 mi
Ethan Kennedy, DO
Family Practice
NPI 1972679181
10240 W INDIAN SCHOOL RD STE 155
Phoenix, AZ 85037
(623) 385-7900
✔ PECOS✔ Accepts Medicare17 mi
Jack Hawks, DO
Family Practice
NPI 1194835660
9191 W. THUNDERBIRD RD. SUITE D-105
Peoria, AZ 85381
(623) 849-3811
✔ PECOS18 mi
Susan Sarabia, FNP
Nurse Practitioner
NPI 1538606439
13940 W MEEKER BLVD STE 101
Sun City West, AZ 85375
(623) 377-9929
✔ PECOS✔ Accepts Medicare25 mi
Natalie Schmille, APRN, FNP-BC
Nurse Practitioner
NPI 1861244014
9019 OVERLOOK BLVD STE C1B
Brentwood, TN 37027
(615) 274-9767
✔ PECOS✔ Accepts Medicare1,440 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0949681

Ceb Capital LLC Dba B-Healthy Clinic · Phoenix, AZ
Active · expires Aug 6, 2028
CLIA Number03D0949681
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorEthan Kennedy
Laboratory Phone(623) 247-2300
Laboratory LocationCeb Capital LLC Dba B-Healthy Clinic9150 W Indian School Rd Ste 111B, Phoenix, AZ 85037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0992678

Ceb Capital LLC, Dba B-Healthy Clinic · Phoenix, AZ
Active · expires Oct 22, 2027
CLIA Number03D0992678
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorEthan Kennedy
Laboratory Phone(623) 247-2300
Laboratory LocationCeb Capital LLC, Dba B-Healthy Clinic4502 W Indian School Ste A-3, Phoenix, AZ 85031
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ceb Capital LLC's NPI number?

The NPI number for Ceb Capital LLC is 1073986212. It was assigned to this organization in the NPPES registry on November 10, 2015.

Where is Ceb Capital LLC located?

Ceb Capital LLC is located at 4502 W Indian School Rd Suite A-3, Phoenix, AZ 85031. The listed phone number is (623) 247-0414.

What is Ceb Capital LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ceb Capital LLC enrolled in Medicare?

Yes. Ceb Capital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ceb Capital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Ceb Capital LLC. 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. The largest specialties are Nurse Practitioner (11), Family Practice (2) and General Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ceb Capital LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ceb Capital LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Ceb Capital LLC 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 Ceb Capital LLC was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.