MERCY GRACE PRIVATE PRACTICE
NPI 1225462468
Clinic/Center - Primary Care in Gilbert, AZ
About Mercy Grace Private Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY GRACE PRIVATE PRACTICE (NPI 1225462468) is a healthcare organization registered as a primary care in Gilbert, Arizona and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Michelle Reyes, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercy Grace Private Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mercy Grace Private Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 03D2030502
Lahodas PLLC Dba Mercy Grace Private Practice · Gilbert, AZFrequently 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 Lahodas PLLC's NPI number?
The NPI number for Lahodas PLLC is 1225462468. It was assigned to this organization in the NPPES registry on August 23, 2013. The provider is doing business as Mercy Grace Private Practice.
Where is Lahodas PLLC located?
Lahodas PLLC is located at 1720 E Boston St, Gilbert, AZ 85295. The listed phone number is (480) 745-3702.
What is Lahodas PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lahodas PLLC enrolled in Medicare?
Yes. Lahodas PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lahodas PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Lahodas PLLC. 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 (4) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lahodas PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2030502) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lahodas PLLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Lahodas PLLC 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 Lahodas PLLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mercy Grace Private Practice · NPI 1225462468
Primary Care organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since August 23, 2013.
## Identity
- **NPI:** 1225462468 (Entity type: Organization)
- **Enumerated:** August 23, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Lahodas Pllc
- **Organization subpart:** No
- **Authorized official:** Michelle Reyes, OFFICE MANAGER
## Practice location
- **Address:** 1720 E BOSTON ST, Gilbert, AZ 85295-6226
- **Phone:** (480) 745-3702 · **Fax:** (480) 745-3709
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225462468) · Data from the CMS NPPES public registry.