MY HOME DOC LLC
NPI 1508405077
General Practice in Phoenix, AZ

Active since January 02, 2020
1825 E NORTHERN AVE STE 105, PHOENIX, AZ 85020(602) 469-9466(480) 393-8555 Get Directions Write a Review

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

Record update history: Oct 11, 2022, Oct 3, 2022, Jan 2, 2020 (3 updates tracked since 2020).

About My Home Doc Llc NPPES

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

MY HOME DOC LLC (NPI 1508405077), doing business as Doctor's At Home, is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since January 2020. The organization lists Nilesh Patel, Chief Medical Director, as its authorized official.

NPPES Registry Identity

NPI1508405077
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMY HOME DOC LLC
Location Address1825 E NORTHERN AVE STE 105Phoenix, AZ 85020-3953
Mailing Address1825 E Northern Ave Ste 105Phoenix, AZ 85020-3953 · (602) 469-9466 · Fax (480) 393-8555
Fax(480) 393-8555
Organization SubpartNo
Authorized OfficialNilesh PatelChief Medical Director · (602) 469-9466
Enumeration DateJanuary 2, 2020
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1508405077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedNurse PractitionerTaxonomy 363L00000X
1825 E NORTHERN AVE STE 105, Phoenix, AZ 85020

Other Names 1

Doing Business AsDoctor's At Home

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)

My Home Doc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to My Home Doc LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1699778167
1825 E NORTHERN AVE STE 105
Phoenix, AZ 85020
(602) 469-9466
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275591612
3536 W GLENDALE AVE
Phoenix, AZ 85051
(480) 618-0177
✔ PECOS5.6 mi
Nurse Practitioner
NPI 1821563628
706 W SOUTHERN AVE STE 109
Mesa, AZ 85210
(419) 775-4771
✔ PECOS16 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 My Home Doc LLC's NPI number?

The NPI number for My Home Doc LLC is 1508405077. It was assigned to this organization in the NPPES registry on January 2, 2020. The provider is doing business as Doctor's At Home.

Where is My Home Doc LLC located?

My Home Doc LLC is located at 1825 E Northern Ave Ste 105, Phoenix, AZ 85020. The listed phone number is (602) 469-9466.

What is My Home Doc LLC's specialty?

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

Is My Home Doc LLC enrolled in Medicare?

Yes. My Home Doc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Home Doc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to My Home Doc LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 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 My Home Doc LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.