FREDERICK ANTHONY WILLYERD MD
NPI 1255661468
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is Frederick Willyerd's NPI number?

The NPI number for Frederick Willyerd is 1255661468. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Q: What is Frederick Willyerd's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since January 11, 2010PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1784(602) 933-1785 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Frederick Anthony Willyerd Md NPPES

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

FREDERICK ANTHONY WILLYERD MD (NPI 1255661468) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (48044) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Creighton University School Of Medicine (2007).

NPPES Registry Identity

NPI1255661468

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameFREDERICK ANTHONY WILLYERDCredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-1820

Phone(602) 933-1784

Fax(602) 933-1785

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2007

Enumeration DateJanuary 11, 2010

Last NPPES UpdateAugust 18, 2021

NPPES CertifiedAugust 18, 2021

✔ NPI 1255661468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 48044

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Location 1

Location 15301 E Grant RdTucson, AZ 85712-2805 · Phone (520) 324-4156

Other Identifiers 1

Medicaid830523AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frederick Anthony Willyerd Md 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 ID9335382621

PECOS Enrollment IDI20130905000920

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. TIMUR RAGHIB M.D.

Hospitalist