DESERT INTERVENTIONAL SPINE CONSULTANTS
NPI 1154651750
Specialist in Gilbert, AZ

Active since January 04, 2010CLIA 03D1100251 · Waiver
1410 W GUADALUPE RD STE 125, GILBERT, AZ 85233(480) 838-1914(480) 838-9434 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desert Interventional Spine Consultants NPPES

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

DESERT INTERVENTIONAL SPINE CONSULTANTS (NPI 1154651750) is a healthcare organization registered as a specialist in Gilbert, Arizona and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Ajay N Yeddu, President, as its authorized official.

NPPES Registry Identity

NPI1154651750
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDESERT INTERVENTIONAL SPINE CONSULTANTS
Location Address1410 W GUADALUPE RD STE 125Gilbert, AZ 85233-3041
Mailing AddressPo Box 97Higley, AZ 85236-0097 · (480) 838-1914 · Fax (480) 838-9434
Fax(480) 838-9434
Organization SubpartNo
Authorized OfficialAjay N YedduPresident · (480) 361-7680
Enumeration DateJanuary 4, 2010
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
NPI 1154651750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 34866
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1410 W GUADALUPE RD STE 125, Gilbert, AZ 85233

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 03D1100251

Desert Interventional Spine Consultants, LLC · Gilbert, AZ
Active · expires Jun 1, 2027
CLIA Number03D1100251
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorAjay N. Yeddu, MD
Laboratory Phone(480) 838-1914
Laboratory LocationDesert Interventional Spine Consultants, LLC1410 W Guadalupe, Ste 125, Gilbert, AZ 85233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1410 W GUADALUPE RD STE 125
GILBERT, AZ 85233

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 Desert Interventional Spine Consultants's NPI number?

The NPI number for Desert Interventional Spine Consultants is 1154651750. It was assigned to this organization in the NPPES registry on January 4, 2010.

Where is Desert Interventional Spine Consultants located?

Desert Interventional Spine Consultants is located at 1410 W Guadalupe Rd Ste 125, Gilbert, AZ 85233. The listed phone number is (480) 838-1914.

What is Desert Interventional Spine Consultants's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Desert Interventional Spine Consultants hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1100251) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desert Interventional Spine Consultants accept?

Health plans from Ambetter from Arizona Complete Health list Desert Interventional Spine Consultants 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 Desert Interventional Spine Consultants was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.