ENVI PLLC
NPI 1396145264
Clinic/Center - Medical Specialty in Peoria, AZ

Q: What is Envi PLLC's NPI number?

The NPI number for Envi PLLC is 1396145264. It was assigned to this organization in the NPPES registry on August 28, 2014.

Q: What is Envi PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for Envi PLLC was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 28, 2014

15396 N 83RD AVE STE E, PEORIA, AZ 85381(623) 300-3684(602) 671-3684 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2020, Aug 7, 2020 (2 updates tracked since 2020).

On this page

About Envi Pllc NPPES

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

ENVI PLLC (NPI 1396145264) is a healthcare organization registered as a medical specialty in Peoria, Arizona and active in the NPI registry since August 2014. The organization lists Asad Ehtisham, Owner, as its authorized official.

NPPES Registry Identity

NPI1396145264

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameENVI PLLC

Location Address15396 N 83RD AVE STE EPeoria, AZ 85381-5627

Mailing Address15396 N 83rd Ave Ste EPeoria, AZ 85381-5627

Phone(623) 300-3684

Fax(602) 671-3684

Organization SubpartNo

Authorized OfficialAsad EhtishamOwner · (623) 300-3684

Enumeration DateAugust 28, 2014

Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1396145264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

15396 N 83RD AVE STE E, Peoria, AZ 85381

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Envi Pllc 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 Envi PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Asad Ehtisham, MD

Neurology

NPI 1558366856

15396 N 83RD AVE STE E
Peoria, AZ 85381

(623) 300-3684

✔ 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.

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 Envi PLLC's NPI number?

The NPI number for Envi PLLC is 1396145264. It was assigned to this organization in the NPPES registry on August 28, 2014.

Where is Envi PLLC located?

Envi PLLC is located at 15396 N 83rd Ave Ste E, Peoria, AZ 85381. The listed phone number is (623) 300-3684.

What is Envi PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Envi PLLC enrolled in Medicare?

Yes. Envi PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Envi PLLC?

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

What insurance does Envi PLLC accept?

Health plans from Imperial Insurance Companies, Inc. list Envi PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Envi PLLC was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.