PK NEUROLOGY PLLC
NPI 1104763051
General Practice in Mesa, AZ
About Pk Neurology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PK NEUROLOGY PLLC (NPI 1104763051) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since April 2026. The organization lists Paul Lanier, Principal, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pk Neurology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pk Neurology PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pk Neurology PLLC's NPI number?
The NPI number for Pk Neurology PLLC is 1104763051. It was assigned to this organization in the NPPES registry on April 29, 2026.
Where is Pk Neurology PLLC located?
Pk Neurology PLLC is located at 455 N Mesa Dr Ste 5, Mesa, AZ 85201. The listed phone number is (480) 813-2906.
What is Pk Neurology PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Pk Neurology PLLC enrolled in Medicare?
Yes. Pk Neurology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pk Neurology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Pk Neurology PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pk Neurology PLLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pk Neurology Pllc · NPI 1104763051
General Practice organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since April 29, 2026.
## Identity
- **NPI:** 1104763051 (Entity type: Organization)
- **Enumerated:** April 29, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Paul Lanier, PRINCIPAL
## Practice location
- **Address:** 455 N MESA DR STE 5, Mesa, AZ 85201-5936
- **Phone:** (480) 813-2906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104763051) · Data from the CMS NPPES public registry.