INTEGRATIVE UROLOGY PLLC
NPI 1497397814
Urology in Phoenix, AZ

Active since October 17, 2019CLIA 03D2175595 · Waiver
2222 E HIGHLAND AVE STE 206, PHOENIX, AZ 85016(602) 900-8003(602) 900-8580 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 22, 2023, Oct 17, 2019 (2 updates tracked since 2019).

About Integrative Urology Pllc NPPES

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

INTEGRATIVE UROLOGY PLLC (NPI 1497397814) is a healthcare organization registered as an urology in Phoenix, Arizona and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Yoon Mark Hong, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1497397814
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameINTEGRATIVE UROLOGY PLLC
Location Address2222 E HIGHLAND AVE STE 206Phoenix, AZ 85016-4876
Mailing Address2222 E Highland Ave Ste 206Phoenix, AZ 85016-4876 · (602) 900-8003 · Fax (602) 900-8580
Fax(602) 900-8580
Organization SubpartNo
Authorized OfficialYoon Mark HongMember Manager · (602) 900-8003
Enumeration DateOctober 17, 2019
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1497397814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2222 E HIGHLAND AVE STE 206, Phoenix, AZ 85016

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)

Integrative Urology 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 Integrative Urology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1750320842
2222 E HIGHLAND AVE STE 206
Phoenix, AZ 85016
(602) 900-8003
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2175595

Integrative Urology PLLC · Phoenix, AZ
Active · expires Nov 24, 2027
CLIA Number03D2175595
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorYoon M. Hong
Laboratory Phone(602) 900-8003
Laboratory LocationIntegrative Urology PLLC2222 E Highland Ave Suite 206, Phoenix, AZ 85016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrative Urology PLLC's NPI number?

The NPI number for Integrative Urology PLLC is 1497397814. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Integrative Urology PLLC located?

Integrative Urology PLLC is located at 2222 E Highland Ave Ste 206, Phoenix, AZ 85016. The listed phone number is (602) 900-8003.

What is Integrative Urology PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Integrative Urology PLLC enrolled in Medicare?

Yes. Integrative Urology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Urology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Integrative Urology 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.

Does Integrative Urology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2175595) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrative Urology PLLC was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.