VERSATILE MEDICINE PLLC
NPI 1326145608
Internal Medicine in Avondale, AZ

Q: What is Versatile Medicine PLLC's NPI number?

The NPI number for Versatile Medicine PLLC is 1326145608. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Versatile Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 20, 2006CLIA 03D0925554 · Microscopy

13055 W MCDOWELL RD, SUITE E-106, AVONDALE, AZ 85392(623) 975-8400(623) 935-2975 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Versatile Medicine Pllc NPPES

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

VERSATILE MEDICINE PLLC (NPI 1326145608) is a healthcare organization registered as an internal medicine in Avondale, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through February 27, 2027 and lists Kathleen A Nichols, Physician/general Manager, as its authorized official.

NPPES Registry Identity

NPI1326145608

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameVERSATILE MEDICINE PLLC

Location Address13055 W MCDOWELL RD, SUITE E-106Avondale, AZ 85392-6449

Mailing Address13055 W Mcdowell Rd, Suite E-106Avondale, AZ 85392-6449 · (623) 975-8400 · Fax (623) 935-2975

Phone(623) 975-8400

Fax(623) 935-2975

Organization SubpartNo

Authorized OfficialKathleen A NicholsPhysician/general Manager · (623) 975-8400

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJune 8, 2015

✔ NPI 1326145608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · AZ26993

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

13055 W MCDOWELL RD, Avondale, AZ 85392

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Other Identifiers 8

OtherAZ0765500AZ · Blue Cross Blue Shield

Medicare ID-Type UnspecifiedZ85584AZ

Medicare UPINH24006AZ

Medicaid486581001AZ

OtherAZ0761300AZ · Blue Cross Blue Shield

Medicare UPINH06555AZ

Medicare ID-Type UnspecifiedZ104450AZ

Medicaid517675AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Versatile Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Versatile Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Terry Woodbeck, MD

Internal Medicine

NPI 1891706875

13055 W MCDOWELL RD SUITE E-106
Avondale, AZ 85392

(623) 975-8400

✔ PECOSSame address

Kathleen Nichols, MD

Internal Medicine

NPI 1245241215

13055 W MCDOWELL RD SUITE E-106
Avondale, AZ 85392

(623) 975-8400

✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0925554

Versatile Medicine PLLC Dba La Loma Internal Medicine And Pediatrics · Avondale, AZ

Active · expires Feb 27, 2027

CLIA Number03D0925554

Laboratory TypeCommunity Clinic

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorKathleen Nichols, MD

Laboratory Phone(623) 975-8400

Laboratory LocationVersatile Medicine PLLC Dba La Loma Internal Medicine And Pediatrics13055 W Mcdowell Rd Ste E-106, Avondale, AZ 85392

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Versatile Medicine PLLC's NPI number?

The NPI number for Versatile Medicine PLLC is 1326145608. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Versatile Medicine PLLC located?

Versatile Medicine PLLC is located at 13055 W Mcdowell Rd Suite E-106, Avondale, AZ 85392. The listed phone number is (623) 975-8400.

What is Versatile Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Versatile Medicine PLLC enrolled in Medicare?

Yes. Versatile Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Versatile Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Versatile Medicine 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Versatile Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0925554) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Versatile Medicine PLLC was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.