DENOVA COLLABORATIVE HEALTH, LLC
NPI 1124549043
Clinic/Center - Multi-Specialty in Mesa, AZ
About Denova Collaborative Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENOVA COLLABORATIVE HEALTH, LLC (NPI 1124549043), doing business as Denova Collaborative Health, is a healthcare organization registered as a multi-specialty in Mesa, Arizona and active in the NPI registry since June 2017. The organization holds 9 active CLIA laboratory certificates and lists Graham Johnson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Denova Collaborative Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
281Medicare enrollment records show 281 clinicians reassign Medicare billing to Denova Collaborative Health, LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 281Source: 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 9
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 03D2134071
Denova Collaborative Health - Dobson · Mesa, AZCertificate of Waiver 03D2083654
Denova Collaborative Health - Bella Vista · Phoenix, AZCertificate of Waiver 03D2083440
Denova Collaborative Health - South Mountain · Phoenix, AZCertificate of Waiver 03D2149315
Denova Collaborative Health - Avondale Elementary School District · Avondale, AZCertificate of Waiver 03D2293223
Denova Collaborative Health - San Rafael · Tucson, AZCertificate of Waiver 03D2167845
Denova Collaborative Health - Moon Valley · 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 Denova Collaborative Health, LLC's NPI number?
The NPI number for Denova Collaborative Health, LLC is 1124549043. It was assigned to this organization in the NPPES registry on June 30, 2017. The provider is doing business as Denova Collaborative Health.
Where is Denova Collaborative Health, LLC located?
Denova Collaborative Health, LLC is located at 2120 W Guadalupe Rd Ste 6, Mesa, AZ 85202. The listed phone number is (602) 230-7373.
What is Denova Collaborative Health, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Denova Collaborative Health, LLC enrolled in Medicare?
Yes. Denova Collaborative Health, LLC is registered in the Medicare PECOS enrollment system.
When is Denova Collaborative Health, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Denova Collaborative Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 281 clinicians in 10 Medicare specialties reassign their Medicare billing to Denova Collaborative Health, 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 Mental Health Counselor (101), Nurse Practitioner (82) and Clinical Social Worker (54). Of these, 13 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Denova Collaborative Health, LLC hold CLIA laboratory certificates?
Yes. 9 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 Denova Collaborative Health, LLC accept?
Health plans from Antidote Health Plan of Arizona, Inc. and Cigna HealthCare of Arizona, Inc list Denova Collaborative Health, 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 Denova Collaborative Health, LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Denova Collaborative Health, Llc · NPI 1124549043
Multi-Specialty organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since June 30, 2017.
## Identity
- **NPI:** 1124549043 (Entity type: Organization)
- **Enumerated:** June 30, 2017
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Denova Collaborative Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Graham Johnson, CEO
## Practice location
- **Address:** 2120 W GUADALUPE RD STE 6, Mesa, AZ 85202-7366
- **Phone:** (602) 230-7373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 281 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (101), Nurse Practitioner (82), Clinical Social Worker (54); 13 practice at this address and 46 within 10 miles; [full list](https://npiprofile.com/npi/1124549043/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Medicaid 295621 (AZ)
- **CLIA laboratory certificates:** 9 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124549043) · Data from the CMS NPPES public registry.