ARIZONA VALLEY MEDICINE PLLC
NPI 1538694252
Family Medicine in Phoenix, AZ
About Arizona Valley Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA VALLEY MEDICINE PLLC (NPI 1538694252) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Daniel T Zoeteman, Presidentt/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Arizona Valley Medicine 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 Arizona Valley Medicine PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 03D2136292
Arizona Valley Medicine · Glendale, AZFrequently 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 Arizona Valley Medicine PLLC's NPI number?
The NPI number for Arizona Valley Medicine PLLC is 1538694252. It was assigned to this organization in the NPPES registry on May 1, 2017.
Where is Arizona Valley Medicine PLLC located?
Arizona Valley Medicine PLLC is located at 7550 N 19th Ave Suite 103, Phoenix, AZ 85021. The listed phone number is (602) 995-5909.
What is Arizona Valley Medicine PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Arizona Valley Medicine PLLC enrolled in Medicare?
Yes. Arizona Valley Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona Valley Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Arizona Valley Medicine 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 Arizona Valley Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2136292) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Arizona Valley Medicine PLLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Arizona Valley Medicine 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 Arizona Valley Medicine PLLC was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Arizona Valley Medicine Pllc · NPI 1538694252
Family Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since May 1, 2017.
## Identity
- **NPI:** 1538694252 (Entity type: Organization)
- **Enumerated:** May 1, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Zoeteman, PRESIDENTT/PROVIDER
## Practice location
- **Address:** 7550 N 19TH AVE, SUITE 103, Phoenix, AZ 85021-7980
- **Phone:** (602) 995-5909 · **Fax:** (602) 864-9233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538694252) · Data from the CMS NPPES public registry.