JOSHUA WILLIS MD
NPI 1134916158
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Joshua Willis's NPI number?

The NPI number for Joshua Willis is 1134916158. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Q: What is Joshua Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Willis was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 23, 2025PECOS Enrolled

1300 N 12TH ST STE 320, PHOENIX, AZ 85006(602) 521-3050 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Joshua Willis Md NPPES

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

JOSHUA WILLIS MD (NPI 1134916158) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134916158

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSHUA WILLISCredential: MD

Location Address1300 N 12TH ST STE 320Phoenix, AZ 85006-2858

Mailing Address1300 N 12th St Ste 320Phoenix, AZ 85006-2858 · (602) 521-3050

Phone(602) 521-3050

Sole ProprietorNo

Enumeration DateApril 23, 2025

Last NPPES UpdateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1134916158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 N 12TH ST STE 320, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

DR. BRIANA KHAN MD

Student in an Organized Health Care Education/Training Program