PHOENIX INDIAN MEDICAL CENTER
NPI 1083643738
Public Health or Welfare in Phoenix, AZ
About Phoenix Indian Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX INDIAN MEDICAL CENTER (NPI 1083643738) is a healthcare organization registered as a public health or welfare in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Laura A Tillman, Cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Accepted 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)
Phoenix Indian Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
596Medicare enrollment records show 596 clinicians reassign Medicare billing to Phoenix Indian Medical Center, which bills Medicare for the services they deliver. Of these, 213 practice at this address and 263 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 40
Nearest to this location (20)
See all 596Source: 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 Accreditation 03D0860951
Phoenix Indian Medical Center Blood Gas Lab - Respiratory Therapy · Phoenix, AZCertificate of Accreditation 03D0664433
Phoenix Indian Medical Center · Phoenix, AZFrequently 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 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm's NPI number?
The NPI number for Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is 1083643738. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Phoenix Indian Medical Center.
Where is Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm located?
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is located at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.
What is Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Is Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm enrolled in Medicare?
Yes. Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm?
According to the CMS Revalidation Reassignment List (October 2026 release), 596 clinicians in 40 Medicare specialties reassign their Medicare billing to Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. 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 Diagnostic Radiology (144), Internal Medicine (81) and Nurse Practitioner (73). Of these, 213 practice at this address and 263 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm 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 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm 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 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm was last updated on March 19, 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.
# Phoenix Indian Medical Center · NPI 1083643738
Public Health or Welfare organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since July 2, 2006.
## Identity
- **NPI:** 1083643738 (Entity type: Organization)
- **Enumerated:** July 2, 2006
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Legal business name:** Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
- **Organization subpart:** No
- **Authorized official:** Laura Tillman, CMO
## Practice location
- **Address:** 4212 N 16TH ST, Phoenix, AZ 85016-5319
- **Phone:** (602) 263-1200 · **Fax:** (602) 200-5383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 596 clinicians in 40 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (144), Internal Medicine (81), Nurse Practitioner (73); 213 practice at this address and 263 within 10 miles; [full list](https://npiprofile.com/npi/1083643738/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2024
- **Other identifiers:** Medicaid 537821 (AZ); Other P0206550 (AZ); Medicaid 418196 (AZ); and 2 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083643738) · Data from the CMS NPPES public registry.