FOOTHILLS NEUROLOGY P C
NPI 1104857143
Psychiatry & Neurology - Neurology in Phoenix, AZ
About Foothills Neurology P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOTHILLS NEUROLOGY P C (NPI 1104857143) is a healthcare organization registered as a neurology in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027, maintains 7 additional practice locations, and lists Stuart Hetrick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 7
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)
Foothills Neurology P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Foothills Neurology P C, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 29Source: 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
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 03D2322925
Foothills Neurology · 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 Foothills Neurology P C's NPI number?
The NPI number for Foothills Neurology P C is 1104857143. It was assigned to this organization in the NPPES registry on July 6, 2006.
Where is Foothills Neurology P C located?
Foothills Neurology P C is located at 4530 E Muirwood Dr Ste 111, Phoenix, AZ 85048. The listed phone number is (480) 961-2365.
What is Foothills Neurology P C's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Foothills Neurology P C enrolled in Medicare?
Yes. Foothills Neurology P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Foothills Neurology P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 4 Medicare specialties reassign their Medicare billing to Foothills Neurology P C. 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 Neurology (16), Nurse Practitioner (11) and General Practice (1). Of these, 13 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Foothills Neurology P C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2322925) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Foothills Neurology P C accept?
Health plans from Cigna HealthCare of Arizona, Inc list Foothills Neurology P C 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 Foothills Neurology P C was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Foothills Neurology P C · NPI 1104857143
Neurology organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1104857143 (Entity type: Organization)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Stuart Hetrick, PRESIDENT
## Practice location
- **Address:** 4530 E MUIRWOOD DR STE 111, Phoenix, AZ 85048-7693
- **Phone:** (480) 961-2365 · **Fax:** (480) 961-2382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (16), Nurse Practitioner (11), General Practice (1); 13 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1104857143/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104857143) · Data from the CMS NPPES public registry.