INNOVATIVE DIABETIC CENTER, LLC
NPI 1235997602
Family Medicine in Scottsdale, AZ
About Innovative Diabetic Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE DIABETIC CENTER, LLC (NPI 1235997602) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Prescott, and lists Amy Lorraine Hunn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 12
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Innovative Diabetic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Innovative Diabetic Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (15)
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 2
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 03D2345067
Innovative Diabetic Center LLC · Prescott, AZCertificate of Waiver 03D2304560
Innovative Diabetic Center, LLC · Scottsdale, 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 Innovative Diabetic Center, LLC's NPI number?
The NPI number for Innovative Diabetic Center, LLC is 1235997602. It was assigned to this organization in the NPPES registry on March 11, 2024.
Where is Innovative Diabetic Center, LLC located?
Innovative Diabetic Center, LLC is located at 10210 N 92nd St Ste 104, Scottsdale, AZ 85258. The listed phone number is (480) 493-0900.
What is Innovative Diabetic Center, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Innovative Diabetic Center, LLC enrolled in Medicare?
Yes. Innovative Diabetic Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Diabetic Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Innovative Diabetic Center, 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 (11), Internal Medicine (2) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovative Diabetic Center, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Innovative Diabetic Center, LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Innovative Diabetic Center, Llc · NPI 1235997602
Family Medicine organization in Scottsdale, Arizona. Organization record, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1235997602 (Entity type: Organization)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amy Hunn, PRESIDENT
## Practice location
- **Address:** 10210 N 92ND ST STE 104, Scottsdale, AZ 85258-4531
- **Phone:** (480) 493-0900 · **Fax:** (833) 228-0846
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Internal Medicine (2), Family Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235997602) · Data from the CMS NPPES public registry.