EAST VALLEY NEUROSURGERY, LLC
NPI 1356594626
Neurological Surgery in Mesa, AZ

Active since October 29, 2008
2045 S VINEYARD, 142, MESA, AZ 85210(480) 303-6010(480) 507-0019 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About East Valley Neurosurgery, Llc NPPES

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

EAST VALLEY NEUROSURGERY, LLC (NPI 1356594626) is a healthcare organization registered as a neurological surgery in Mesa, Arizona and active in the NPI registry since October 2008. The organization lists Jennifer Farris, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1356594626
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameEAST VALLEY NEUROSURGERY, LLC
Location Address2045 S VINEYARD, 142Mesa, AZ 85210-6889
Mailing Address2045 S Vineyard, 142Mesa, AZ 85210-6889 · (480) 303-6010 · Fax (480) 507-0019
Fax(480) 507-0019
Organization SubpartNo
Authorized OfficialJennifer FarrisCredentialing Specialist · (480) 478-6620
Enumeration DateOctober 29, 2008
Last NPPES UpdateSeptember 13, 2010
✔ NPI 1356594626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2045 S VINEYARD, Mesa, AZ 85210

Other Identifiers 1

Medicare PINZ128962AZ

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)

East Valley Neurosurgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Valley Neurosurgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1124057070
2045 S VINEYARD STE. 142
Mesa, AZ 85210
(480) 330-6010
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 East Valley Neurosurgery, LLC's NPI number?

The NPI number for East Valley Neurosurgery, LLC is 1356594626. It was assigned to this organization in the NPPES registry on October 29, 2008.

Where is East Valley Neurosurgery, LLC located?

East Valley Neurosurgery, LLC is located at 2045 S Vineyard 142, Mesa, AZ 85210. The listed phone number is (480) 303-6010.

What is East Valley Neurosurgery, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is East Valley Neurosurgery, LLC enrolled in Medicare?

Yes. East Valley Neurosurgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Valley Neurosurgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to East Valley Neurosurgery, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Valley Neurosurgery, LLC was last updated on September 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.