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DESERT RIDGE MEDICAL GROUP
NPI 1386133080
General Practice in Phoenix, AZ

Active since May 08, 2018
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050(480) 926-7800(480) 926-2260 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2023, Jan 5, 2023, Aug 19, 2021 and 4 more (7 updates tracked since 2018).

About Desert Ridge Medical Group NPPES

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

DESERT RIDGE MEDICAL GROUP (NPI 1386133080) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since May 2018. The organization lists Ellie Descalzo, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1386133080
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDESERT RIDGE MEDICAL GROUP
Location Address21001 N TATUM BLVD STE 78-1640Phoenix, AZ 85050-5244
Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (480) 926-7800 · Fax (480) 926-2260
Phone(480) 926-7800
Fax(480) 926-2260
Organization SubpartNo
Authorized OfficialEllie DescalzoCredentialing Officer · (480) 926-7800
Enumeration DateMay 8, 2018
Last NPPES UpdateOctober 13, 20237 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1386133080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
21001 N TATUM BLVD STE 78-1640, Phoenix, AZ 85050
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Desert Ridge Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Desert Ridge Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Chiropractic7
Nurse Practitioner2
Physical Medicine and Rehabilitation1

Clinicians, nearest first (10)

Michael Bohrnsen, DC, DACBSP
Chiropractic
NPI 1295020725
14300 N NORTHSIGHT BLVD STE 209
Scottsdale, AZ 85260
(480) 630-9295
✔ Accepts Medicare6.3 mi
Amy Connaker, REGISTERED NURSE
Nurse Practitioner
NPI 1689957201
15095 N THOMPSON PEAK PKWY UNIT 2087
Scottsdale, AZ 85260
(907) 795-8837
✔ PECOS7.2 mi
Jacob Hanson, DC
Chiropractic
NPI 1477687432
2836 E INDIAN SCHOOL RD STE A8
Phoenix, AZ 85016
(602) 840-0056
✔ Accepts Medicare13 mi
Zachary Goodman, DC
Chiropractic
NPI 1568973428
1061 N DOBSON RD STE 110
Mesa, AZ 85201
(856) 534-0872
✔ Accepts Medicare18 mi
Sonja Gerard, NP
Nurse Practitioner
NPI 1366719965
1855 E GUADALUPE RD STE 112
Tempe, AZ 85283
(480) 839-8552
✔ PECOS✔ Accepts Medicare22 mi
Michael Collins, D.C.
Chiropractic
NPI 1336224732
1451 E WILLIAMS FIELD RD SUITE 105
Gilbert, AZ 85295
(480) 598-0988
✔ Accepts Medicare29 mi
Walter Damper, D.O
Physical Medicine and Rehabilitation
NPI 1639309180
4881 E GRANT RD
Tucson, AZ 85712
(520) 318-6035
✔ PECOS✔ Accepts Medicare117 mi
Brandon Livingood, DC
Chiropractic
NPI 1639303993
18025 CALLE AMBIENTE SUITE 204
Rancho Santa Fe, CA 92067
(858) 367-8660
✔ Accepts Medicare303 mi
Phoebe Sampayo
Chiropractic
NPI 1710283247
30 WALL ST SUITE 500
New York, NY 10005
(212) 742-8000
✔ Accepts Medicare2,132 mi
Brandon Smith, DC
Chiropractic
NPI 1720969660
21001 N TATUM BLVD STE 78-1640
Phoenix, AZ 85050
(877) 222-5348
✔ Accepts Medicare

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 Desert Ridge Medical Group's NPI number?

The NPI number for Desert Ridge Medical Group is 1386133080. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Desert Ridge Medical Group located?

Desert Ridge Medical Group is located at 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050. The listed phone number is (480) 926-7800.

What is Desert Ridge Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Desert Ridge Medical Group enrolled in Medicare?

Yes. Desert Ridge Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Ridge Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Desert Ridge Medical Group. 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 Chiropractic (7), Nurse Practitioner (2) and Physical Medicine and Rehabilitation (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Desert Ridge Medical Group was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.