MARY ELLEN DIRLAM M.D.
NPI 1356319495
Internal Medicine in Phoenix, AZ

Active since March 14, 2006
1300 N 12TH ST, SUITE 508, PHOENIX, AZ 85006(602) 495-4577 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Ellen Dirlam M.d. NPPES

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

MARY ELLEN DIRLAM M.D. (NPI 1356319495) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (20594) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1356319495
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY ELLEN DIRLAMCredential: M.D.
Location Address1300 N 12TH ST, SUITE 508Phoenix, AZ 85006-2848
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 495-4577 · Fax (602) 417-3549
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateApril 14, 2011
NPI 1356319495 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 · 20594
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.
1300 N 12TH ST, Phoenix, AZ 85006

Other Identifiers 4

Medicare PINZ74455
Medicare UPINF22077
Medicaid158510AZ
Medicare ID-Type Unspecified74455

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.

Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Physician Assistant (Medical)
1300 N 12TH ST, STE 500
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

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 Mary Dirlam's NPI number?

The NPI number for Mary Dirlam is 1356319495. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Mary Dirlam located?

Mary Dirlam practices at 1300 N 12th St Suite 508, Phoenix, AZ 85006. The listed phone number is (602) 495-4577.

What is Mary Dirlam's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Dirlam was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.