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PUERTO SONORA INTERNAL MEDICINE
NPI 1427635408
Internal Medicine in Tempe, AZ

Active since March 25, 2021
4653 S LAKESHORE DR STE 3, TEMPE, AZ 85282(480) 456-8981(480) 456-2906 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2023, Aug 30, 2022, Sep 10, 2021 and 2 more (5 updates tracked since 2021).

About Puerto Sonora Internal Medicine NPPES

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

PUERTO SONORA INTERNAL MEDICINE (NPI 1427635408) is a healthcare organization registered as an internal medicine in Tempe, Arizona and active in the NPI registry since March 2021. The organization lists Lynn Pangallo, Accounting Manager - Credentialing, as its authorized official.

NPPES Registry Identity

NPI1427635408
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePUERTO SONORA INTERNAL MEDICINE
Location Address4653 S LAKESHORE DR STE 3Tempe, AZ 85282-7161
Mailing Address4653 S Lakeshore Dr Ste 3Tempe, AZ 85282-7161 · (480) 456-8981 · Fax (480) 456-2906
Phone(480) 456-8981
Fax(480) 456-2906
Organization SubpartNo
Authorized OfficialLynn PangalloAccounting Manager - Credentialing · (702) 375-5777
Enumeration DateMarch 25, 2021
Last NPPES UpdateFebruary 28, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1427635408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
4653 S LAKESHORE DR STE 3, Tempe, AZ 85282
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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)

Puerto Sonora Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Puerto Sonora Internal Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Tommy Nguyen, MD
General Practice
NPI 1821385592
4653 S LAKESHORE DR STE 3
Tempe, AZ 85282
(480) 456-8981
✔ PECOSSame address
Charlene Baldwin, FNP
Nurse Practitioner
NPI 1033546411
1610 E CAMELBACK RD
Phoenix, AZ 85016
(602) 277-1727
✔ PECOS✔ Accepts Medicare11 mi
Christina Ross, FNP-C
Nurse Practitioner
NPI 1043684012
9124 E MAIN ST STE 20-21
Mesa, AZ 85207
(480) 295-8070
✔ PECOS✔ Accepts Medicare17 mi
Carolynn Eastin, FNP-BC
Nurse Practitioner
NPI 1386763019
7435 W CACTUS RD # A-125
Peoria, AZ 85381
(480) 677-8282
✔ PECOS✔ Accepts Medicare23 mi
Jessica Dixon, DNP
Nurse Practitioner
NPI 1972121861
4951 S WHITE MOUNTAIN RD BLDG A
Show Low, AZ 85901
(928) 537-6700
✔ PECOS123 mi
Mark Carter, M.D.
Internal Medicine
NPI 1760456032
2302 N STOCKTON HILL RD STE G
Kingman, AZ 86401
(928) 718-2225
✔ PECOS✔ Accepts Medicare174 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 Puerto Sonora Internal Medicine's NPI number?

The NPI number for Puerto Sonora Internal Medicine is 1427635408. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is Puerto Sonora Internal Medicine located?

Puerto Sonora Internal Medicine is located at 4653 S Lakeshore Dr Ste 3, Tempe, AZ 85282. The listed phone number is (480) 456-8981.

What is Puerto Sonora Internal Medicine's specialty?

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

Is Puerto Sonora Internal Medicine enrolled in Medicare?

Yes. Puerto Sonora Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Puerto Sonora Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Puerto Sonora Internal Medicine. 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 Nurse Practitioner (4), General Practice (1) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Puerto Sonora Internal Medicine was last updated on February 28, 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.