ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC.
NPI 1154804243
Internal Medicine - Endocrinology, Diabetes & Metabolism in Scottsdale, AZ

Q: What is Edlc, LLC's NPI number?

The NPI number for Edlc, LLC is 1154804243. It was assigned to this organization in the NPPES registry on September 13, 2018. The provider is doing business as Endocrinology, Diabetes And Longevity Center Of Arizona, Plc..

Q: What is Edlc, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Edlc, LLC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 13, 2018

7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255(480) 513-1042(480) 513-1043 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Sep 13, 2018 (2 updates tracked since 2018).

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About Endocrinology, Diabetes And Longevity Center Of Arizona, Plc. NPPES

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

ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC. (NPI 1154804243) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Scottsdale, Arizona and active in the NPI registry since September 2018. The organization lists Regina Ford, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1154804243

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameEDLC, LLC

Location Address7344 E DEER VALLEY RD STE 100Scottsdale, AZ 85255-7456

Mailing AddressPo Box 27973Scottsdale, AZ 85255-0149

Phone(480) 513-1042

Fax(480) 513-1043

Organization SubpartNo

Authorized OfficialRegina FordPractice Manager · (480) 513-1042

Enumeration DateSeptember 13, 2018

Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2021

✔ NPI 1154804243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

7344 E DEER VALLEY RD STE 100, Scottsdale, AZ 85255

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Other Names 1

Doing Business AsEndocrinology, Diabetes And Longevity Center Of Arizona, Plc.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endocrinology, Diabetes And Longevity Center Of Arizona, Plc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Endocrinology, Diabetes And Longevity Center Of Arizona, Plc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8

Endocrinology1

Internal Medicine1

Clinicians, nearest first (10)

Meagan Gruwell, APRN

Nurse Practitioner

NPI 1386429934

7344 E DEER VALLEY RD STE 100
Scottsdale, AZ 85255

(480) 513-1042

✔ PECOS✔ Accepts MedicareSame address

Liliana Kettenburg

Nurse Practitioner

NPI 1548970817

7344 E DEER VALLEY RD STE 100
Scottsdale, AZ 85255

(480) 513-1042

✔ PECOSSame address

Leeanna Peterson, FNP-C

Nurse Practitioner

NPI 1669821112

7344 E DEER VALLEY RD STE 100
Scottsdale, AZ 85255

(480) 513-1042

✔ PECOS✔ Accepts MedicareSame address

Brianne Hardman, FNP-BC

Nurse Practitioner

NPI 1255229795

7344 E DEER VALLEY RD STE 100
Scottsdale, AZ 85255

(480) 513-1042

✔ PECOS✔ Accepts MedicareSame address

Kendra Lollis, MSN,APRN, FNP-BC

Nurse Practitioner

NPI 1972304871

7344 E DEER VALLEY RD
Scottsdale, AZ 85255

(480) 513-1042

✔ PECOS✔ Accepts MedicareSame address

Yasmin Akhunji, M.D.

Endocrinology

NPI 1790918738

15640 N 28TH DR
Phoenix, AZ 85053

(602) 439-9000

✔ PECOS12 mi

Darrelan Mcbride, FNP-C

Nurse Practitioner

NPI 1881323459

6525 W HAPPY VALLEY RD STE 105
Glendale, AZ 85310

(480) 677-8282

✔ PECOS✔ Accepts Medicare16 mi

Chioma Iweha, M.D.

Internal Medicine

NPI 1356321392

6760 W THUNDERBIRD RD STE E100
Peoria, AZ 85381

(623) 241-9028

✔ PECOS✔ Accepts Medicare17 mi

Christy Kutz, CRNP

Nurse Practitioner

NPI 1699927822

13640 N PLAZA DEL RIO BLVD STE 210
Peoria, AZ 85381

(623) 285-1120

✔ PECOS✔ Accepts Medicare20 mi

Sharon Brown, AG-ACNP

Nurse Practitioner

NPI 1033837786

5508 SW TYLER AVE
Lawton, OK 73505

(580) 291-6280

✔ PECOS✔ Accepts Medicare773 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Edlc, LLC's NPI number?

The NPI number for Edlc, LLC is 1154804243. It was assigned to this organization in the NPPES registry on September 13, 2018. The provider is doing business as Endocrinology, Diabetes And Longevity Center Of Arizona, Plc..

Where is Edlc, LLC located?

Edlc, LLC is located at 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255. The listed phone number is (480) 513-1042.

What is Edlc, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Edlc, LLC enrolled in Medicare?

Yes. Edlc, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edlc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Edlc, 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 Nurse Practitioner (8), Endocrinology (1) and Internal Medicine (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edlc, LLC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.