ELIZABETH KATHLEEN FOX-MTANDIKA
NPI 1205397288
Family Medicine in San Tan Valley, AZ

Q: What is Elizabeth Fox-mtandika's NPI number?

The NPI number for Elizabeth Fox-mtandika is 1205397288. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Q: What is Elizabeth Fox-mtandika's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment

37100 N GANTZEL RD STE 201, SAN TAN VALLEY, AZ 85140(480) 394-4469 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elizabeth Kathleen Fox-mtandika NPPES

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

ELIZABETH KATHLEEN FOX-MTANDIKA (NPI 1205397288) is an individual family medicine provider in San Tan Valley, Arizona, licensed in Arizona (009452) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2019).

NPPES Registry Identity

NPI1205397288

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELIZABETH KATHLEEN FOX-MTANDIKA

Location Address37100 N GANTZEL RD STE 201San Tan Valley, AZ 85140-7352

Mailing Address4760 E Baseline Rd Apt 2025Mesa, AZ 85206-4688 · (602) 359-7866

Phone(480) 394-4469

Sole ProprietorNo

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2019

Enumeration DateMarch 30, 2019

Last NPPES UpdateFebruary 20, 2023

NPPES CertifiedJuly 12, 2022

✔ NPI 1205397288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 009452

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

37100 N GANTZEL RD STE 201, San Tan Valley, AZ 85140

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Kathleen Fox-mtandika is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527445030

PECOS Enrollment IDI20220520001955

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.

Medicare Billing Reassignments

Medicare enrollment records show Elizabeth Fox-mtandika reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honorhealth Medical Group, LLC

21 mi

Family Medicine

7695 S RESEARCH DR
Tempe, AZ 85284

Reassigned Medicare billing, Arizona enrollment
502 clinicians in this Medicare group

NPI 1467110627 (480) 256-1664

Banner Primary Care Physicians Arizona LLC

35 mi

Primary Care

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
271 clinicians in this Medicare group

NPI 1417238908 (602) 747-4000

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

365 services223 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

100 services100 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

86 services71 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

43 services41 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

42 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

ARAN DEOL MD

Family Medicine

37100 N GANTZEL RD STE 201
QUEEN CREEK, AZ 85140

Maricopa County (480) 394-4469

MATTHEW COOK DO

Family Medicine

37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

Maricopa County (480) 394-4469

MRS. SUE ANN JOHNSON FNP

Nurse Practitioner (Primary Care)

37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

Maricopa County (480) 394-4469

JENNIFER STATHOPOULOS APRN-RNP

Nurse Practitioner (Family)

37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

Maricopa County (480) 394-4469

MARIO SKOBIC MD

Internal Medicine

37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

Maricopa County (480) 394-4520

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Clinic/Center (Primary Care)

37100 N GANTZEL RD STE 201
QUEEN CREEK, AZ 85140

Maricopa County (480) 394-4469

JARED SCHWARTING FNP-C

Nurse Practitioner (Family)

37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

Maricopa County (480) 394-4469

DONALD TODD SWAIN DO

Family Medicine

37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

Maricopa County (801) 319-1322

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 Elizabeth Fox-mtandika's NPI number?

The NPI number for Elizabeth Fox-mtandika is 1205397288. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Elizabeth Fox-mtandika located?

Elizabeth Fox-mtandika practices at 37100 N Gantzel Rd Ste 201, San Tan Valley, AZ 85140. The listed phone number is (480) 394-4469.

What is Elizabeth Fox-mtandika's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Fox-mtandika enrolled in Medicare?

Yes. Elizabeth Fox-mtandika is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Fox-mtandika's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Fox-mtandika reassigns Medicare benefits to 2 organizations: Honorhealth Medical Group, LLC (Tempe, AZ) and Banner Primary Care Physicians Arizona LLC (Phoenix, AZ). Each 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 Elizabeth Fox-mtandika's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Fox-mtandika accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Elizabeth Fox-mtandika 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 Elizabeth Fox-mtandika was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.