IMPACT HEALTHCARE PLLC
NPI 1609447317
Clinic/Center - Health Service in Chandler, AZ
About Impact Healthcare Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT HEALTHCARE PLLC (NPI 1609447317) is a healthcare organization registered as a health service in Chandler, Arizona and active in the NPI registry since July 2021. The organization lists Michael Tawadrous, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Impact Healthcare PLLC, 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 (2)
Chandler, AZ 85224
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 Impact Healthcare PLLC's NPI number?
The NPI number for Impact Healthcare PLLC is 1609447317. It was assigned to this organization in the NPPES registry on July 3, 2021.
Where is Impact Healthcare PLLC located?
Impact Healthcare PLLC is located at 1720 W Gila Ln, Chandler, AZ 85224. The listed phone number is (262) 751-7983.
What is Impact Healthcare PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Impact Healthcare PLLC enrolled in Medicare?
Yes. Impact Healthcare PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Healthcare PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Impact Healthcare PLLC, in Family Practice and 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. 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 Impact Healthcare PLLC was last updated on July 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Impact Healthcare Pllc · NPI 1609447317
Health Service organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since July 3, 2021.
## Identity
- **NPI:** 1609447317 (Entity type: Organization)
- **Enumerated:** July 3, 2021
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Michael Tawadrous, PRESIDENT
## Practice location
- **Address:** 1720 W GILA LN, Chandler, AZ 85224-5101
- **Phone:** (262) 751-7983
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609447317) · Data from the CMS NPPES public registry.