1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Family Medicine
  6. NPI Profile

DESERT GROVE FAMILY MEDICAL
NPI 1093764938
Family Medicine in Mesa, AZ

Active since May 09, 2006CLIA Certified · 5 labs
1855 N STAPLEY DR, MESA, AZ 85203(480) 834-7546(480) 833-8313 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Desert Grove Family Medical NPPES

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

DESERT GROVE FAMILY MEDICAL (NPI 1093764938) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since May 2006. The organization holds 5 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Michelle Dinsdale, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093764938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERITAGE TECHNOLOGIES, LLC
Location Address1855 N STAPLEY DRMesa, AZ 85203-3002
Mailing Address1855 N Stapley DrMesa, AZ 85203-3002 · (480) 834-7546 · Fax (480) 833-8313
Phone(480) 834-7546
Fax(480) 833-8313
Organization SubpartNo
Authorized OfficialMichelle DinsdaleExecutive Director · (480) 834-7546
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1093764938 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.
1855 N STAPLEY DR, Mesa, AZ 85203
Open in Google Maps ↗

Other Names 1

Doing Business AsDesert Grove Family Medical

Secondary Practice Locations 5

Location 120928 E Heritage Loop Rd Ste 106Queen Creek, AZ 85142-3900 · Phone (480) 834-7546 · Fax (480) 833-8313
Location 21492 S Mill Ave Ste 101Tempe, AZ 85281-5660 · Phone (480) 834-7546 · Fax (480) 833-8313
Location 310238 E Hampton Ave Ste 508Mesa, AZ 85209-3321 · Phone (480) 834-7546
Location 410238 E Hampton Ave Ste 506Mesa, AZ 85209-3321 · Phone (480) 834-7546 · Fax (480) 833-8313
Location 55656 S Power Rd Ste 126Gilbert, AZ 85295-8489 · Phone (480) 834-7546 · Fax (480) 833-8313

Other Identifiers 1

Medicaid633795AZ

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Grove Family Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Desert Grove Family Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Family Practice16
Nurse Practitioner7
Internal Medicine4

Nearest to this location (20)

See all 27
Donald White, M.D.
Internal Medicine
NPI 1558504357
1855 N STAPLEY DR
Mesa, AZ 85203
(480) 834-7546
✔ PECOS✔ Accepts MedicareSame address
Richard Dinsdale, MD
Family Practice
NPI 1487617718
840 E MCKELLIPS RD SUITE101
Mesa, AZ 85203
(480) 834-7546
✔ PECOS✔ Accepts Medicare0.5 mi
Rachel Erdmann, FNP
Nurse Practitioner
NPI 1437383874
840 E MCKELLIPS RD 101
Mesa, AZ 85203
(480) 834-7546
✔ PECOS✔ Accepts Medicare0.5 mi
Kent Hatfield, DO
Family Practice
NPI 1811938152
3331 E BASELINE RD
Gilbert, AZ 85234
(480) 964-1600
✔ PECOS✔ Accepts Medicare5.5 mi
Annette Lusko, D.O
Family Practice
NPI 1487918181
1855 W BASELINE RD STE 101
Mesa, AZ 85202
(480) 507-3188
✔ PECOS✔ Accepts Medicare6.3 mi
Robert Ellis, NP
Nurse Practitioner
NPI 1902284599
2946 E BANNER GATEWAY DRIVE
Gilbert, AZ 85234
(480) 256-3359
✔ PECOS✔ Accepts Medicare6.4 mi
Heather Hodnett, ANP-BC, GNP-BC
Nurse Practitioner
NPI 1932444304
65 E UNIVERSITY DR
Tempe, AZ 85281
(623) 624-8280
✔ PECOS8.1 mi
Katie Andrusaitis, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1922735521
1492 S MILL AVE STE 101
Tempe, AZ 85281
(480) 834-7546
✔ PECOS✔ Accepts Medicare8.3 mi
Lisa Eckerson, FNP-C
Nurse Practitioner
NPI 1689981177
451 E UNIVERSITY DR
Tempe, AZ 85281
(480) 965-3349
✔ PECOS8.4 mi
Albert Hsia, D.O.
Family Practice
NPI 1518313196
1435 S ALMA SCHOOL RD
Chandler, AZ 85286
(480) 668-1600
✔ PECOS✔ Accepts Medicare8.9 mi
Mary Winscott, MD
Family Practice
NPI 1952324030
13400 E SHEA BLVD
Scottsdale, AZ 85259
(480) 301-8000
✔ PECOS✔ Accepts Medicare9.4 mi
Linda Lau, MD
Family Practice
NPI 1710940705
5656 S POWER RD STE 126
Gilbert, AZ 85295
(480) 834-7546
✔ PECOS✔ Accepts Medicare11 mi
Allison Kaplan, MD
Family Practice
NPI 1962463844
5656 S. POWER ROAD SUITE 126
Gilbert, AZ 85295
(480) 834-7546
✔ PECOS✔ Accepts Medicare12 mi
Benjamin Ihms, D.O.
Family Practice
NPI 1588076046
3477 S MERCY RD STE 201
Gilbert, AZ 85297
(480) 728-6580
✔ PECOS✔ Accepts Medicare12 mi
Denise Sackett, DO
Family Practice
NPI 1730163361
1120 S DOBSON RD STE 225
Chandler, AZ 85286
(480) 728-5460
✔ PECOS✔ Accepts Medicare12 mi
Tyler Williams
Family Practice
NPI 1801321344
1301 S CRISMON RD
Mesa, AZ 85209
(480) 373-2370
✔ PECOS✔ Accepts Medicare12 mi
Cooper Johnston, D.O.
Family Practice
NPI 1073992087
1301 S CRISMON RD
Mesa, AZ 85209
(480) 358-6100
✔ PECOS✔ Accepts Medicare12 mi
Travis Fisher, MD
Internal Medicine
NPI 1366536732
10238 E HAMPTON AVE STE 508
Mesa, AZ 85209
(480) 834-7546
✔ PECOS✔ Accepts Medicare12 mi
Susan Gerold-Terraza, FNP
Nurse Practitioner
NPI 1467115246
10238 E HAMPTON AVE STE 508
Mesa, AZ 85209
(480) 834-7546
✔ PECOS✔ Accepts Medicare12 mi
Kristen Robinson, PMHNP, FNP
Nurse Practitioner
NPI 1447545645
202 E EARLL DR SUITE 200
Phoenix, AZ 85012
(602) 808-2800
✔ PECOS✔ Accepts Medicare16 mi
See all 27 clinicians

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 5

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 03D0930501

Desert Grove Family Medical · Mesa, AZ
Active · expires Jul 14, 2027
CLIA Number03D0930501
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRichard J. Dinsdale MD
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical1855 N Stapley Dr, Mesa, AZ 85203
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 03D2064422

Desert Grove Family Medicine - Tempe · Tempe, AZ
Active · expires Aug 19, 2027
CLIA Number03D2064422
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorRichard J. Dinsdale
Laboratory Phone(602) 797-7107
Laboratory LocationDesert Grove Family Medicine - Tempe1492 S Mill Ave, Ste 101, Tempe, AZ 85281
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1103845

Desert Grove Family Medical · Queen Creek, AZ
Active · expires Jul 22, 2027
CLIA Number03D1103845
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRichard J. Dinsdale
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical20926 E Heritage Loop Rd, Ste 106, Queen Creek, AZ 85142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0930568

Desert Grove Family Medical · Mesa, AZ
Active · expires Jul 14, 2027
CLIA Number03D0930568
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRichard J. Dinsdale MD
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical10238 E Hampton Ave #508, Mesa, AZ 85209
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0930569

Desert Grove Family Medical · Gilbert, AZ
Active · expires Jul 14, 2027
CLIA Number03D0930569
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRichard J. Dinsdale
Laboratory Phone(480) 834-7546
Laboratory LocationDesert Grove Family Medical5656 S Power Rd, #126, Gilbert, AZ 85295
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 Heritage Technologies, LLC's NPI number?

The NPI number for Heritage Technologies, LLC is 1093764938. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Desert Grove Family Medical.

Where is Heritage Technologies, LLC located?

Heritage Technologies, LLC is located at 1855 N Stapley Dr, Mesa, AZ 85203. The listed phone number is (480) 834-7546.

What is Heritage Technologies, LLC's specialty?

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

Is Heritage Technologies, LLC enrolled in Medicare?

Yes. Heritage Technologies, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Technologies, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Heritage Technologies, 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 Family Practice (16), Nurse Practitioner (7) and Internal Medicine (4). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heritage Technologies, LLC hold CLIA laboratory certificates?

Yes. 5 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.

When was this NPI record last updated?

The NPPES record for Heritage Technologies, LLC was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.