TY PFAU DO
NPI 1154901742
General Practice in Glendale, AZ

Q: What is Ty Pfau's NPI number?

The NPI number for Ty Pfau is 1154901742. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Ty Pfau's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Pfau was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 09, 2021PECOS Enrolled

18701 N 67TH AVE, GLENDALE, AZ 85308(877) 934-9355 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Jun 6, 2024, Apr 9, 2021 (3 updates tracked since 2021).

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About Ty Pfau Do NPPES

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

TY PFAU DO (NPI 1154901742) is an individual general practice provider in Glendale, Arizona, licensed in Arizona (011065) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154901742

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameTY PFAUCredential: DO

Location Address18701 N 67TH AVEGlendale, AZ 85308-7100

Mailing Address18701 N 67th AveGlendale, AZ 85308-7100 · (877) 934-9355

Phone(877) 934-9355

Sole ProprietorYes

Enumeration DateApril 9, 2021

Last NPPES UpdateMay 7, 20263 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1154901742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AZ · 011065

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

18701 N 67TH AVE, Glendale, AZ 85308

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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)

Ty Pfau Do 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.

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. KENNETH VEIGA DO

Internal Medicine