Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETHEL HILLS INTERGRATED HEALTHCARE PLLC
NPI 1578104154
Clinic/Center - Multi-Specialty in Phoenix, AZ

Q: What is Bethel Hills Intergrated Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since October 04, 2019

13838 S 46TH PL STE 340, PHOENIX, AZ 85044(832) 542-3181 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Sep 14, 2026, Mar 7, 2022 and 3 more (6 updates tracked since 2019).

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About Bethel Hills Intergrated Healthcare Pllc NPPES

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

BETHEL HILLS INTERGRATED HEALTHCARE PLLC (NPI 1578104154) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since October 2019. The organization maintains 4 additional practice locations and lists Olubukola Komolafe, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578104154

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBETHEL HILLS INTERGRATED HEALTHCARE PLLC

Location Address13838 S 46TH PL STE 340Phoenix, AZ 85044-7805

Mailing AddressPo Box 2251Scottsdale, AZ 85252-2251 · (489) 597-7903 · Fax (480) 597-7904

Phone(832) 542-3181

Organization SubpartNo

Authorized OfficialOlubukola KomolafeMedical Director · (832) 542-3181

Enumeration DateOctober 4, 2019

Last NPPES UpdateOctober 6, 20266 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1578104154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

13838 S 46TH PL STE 340, Phoenix, AZ 85044

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Secondary Practice Locations 4

Location 1400 Union Ave SE Ste 200Olympia, WA 98501-2060 · Phone (360) 394-6039 · Fax (360) 394-6039

Location 2650 NE Holladay St Ste 1600Portland, OR 97232-2035 · Phone (503) 766-6537 · Fax (503) 766-6537

Location 34446 E Des MoinesMesa, AZ 85205-8520 · Phone (832) 542-3181

Location 41810 E Sahara Ave Ste 100Las Vegas, NV 89104-3707 · Phone (702) 530-4531 · Fax (702) 660-7123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethel Hills Intergrated Healthcare 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 Bethel Hills Intergrated Healthcare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olubukola Komolafe, NURSE PRACTITIONER

Nurse Practitioner

NPI 1134628738

13838 S 46TH PL STE 340
Phoenix, AZ 85044

(832) 542-3181

✔ 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 Bethel Hills Intergrated Healthcare PLLC's NPI number?

The NPI number for Bethel Hills Intergrated Healthcare PLLC is 1578104154. It was assigned to this organization in the NPPES registry on October 4, 2019.

Where is Bethel Hills Intergrated Healthcare PLLC located?

Bethel Hills Intergrated Healthcare PLLC is located at 13838 S 46th Pl Ste 340, Phoenix, AZ 85044. The listed phone number is (832) 542-3181.

What is Bethel Hills Intergrated Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Bethel Hills Intergrated Healthcare PLLC enrolled in Medicare?

Yes. Bethel Hills Intergrated Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethel Hills Intergrated Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bethel Hills Intergrated Healthcare 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.

When was this NPI record last updated?

The NPPES record for Bethel Hills Intergrated Healthcare PLLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.