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DISTRICT MEDICAL GROUP, INC
NPI 1124667555
Clinic/Center in Peoria, AZ

Active since January 02, 2020
15182 N 75TH AVE STE 180, PEORIA, AZ 85381(623) 487-3334(623) 487-3656 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2020, Jan 2, 2020 (2 updates tracked since 2020).

About District Medical Group, Inc NPPES

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

DISTRICT MEDICAL GROUP, INC (NPI 1124667555) is a healthcare organization registered as a clinic/center in Peoria, Arizona and active in the NPI registry since January 2020. The organization lists Teresa Cordeiro, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124667555
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDISTRICT MEDICAL GROUP, INC
Location Address15182 N 75TH AVE STE 180Peoria, AZ 85381-4722
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5519 · Fax (602) 470-5064
Phone(623) 487-3334
Fax(623) 487-3656
Organization SubpartYes
Authorized OfficialTeresa CordeiroDirector, Credentialing · (602) 470-5519
Enumeration DateJanuary 2, 2020
Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration
✔ NPI 1124667555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSurgeryTaxonomy 208600000X
15182 N 75TH AVE STE 180, Peoria, AZ 85381
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Other Identifiers 1

Medicaid475747AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITAKER & HOLLEY
Clinic/Center (Primary Care)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Maricopa County (602) 567-7856
DIANA VERONICA BAUTISTA FNP
Nurse Practitioner (Family)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Maricopa County (602) 567-7856
KRISTIAN ADAIR APRN-RNP
Nurse Practitioner (Family)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Maricopa County (602) 567-7856
SIMONE GABRIEL ENTERPRISES
Nurse Practitioner (Family)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Maricopa County (602) 567-7856

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 District Medical Group, Inc's NPI number?

The NPI number for District Medical Group, Inc is 1124667555. It was assigned to this organization in the NPPES registry on January 2, 2020.

Where is District Medical Group, Inc located?

District Medical Group, Inc is located at 15182 N 75th Ave Ste 180, Peoria, AZ 85381. The listed phone number is (623) 487-3334.

What is District Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for District Medical Group, Inc was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.