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ARIZONA MEDICAL CENTER PLLC
NPI 1619057932
Internal Medicine in Yuma, AZ

Active since October 17, 2006CLIA 03D1085932 · Waiver
2095 W 24TH ST STE A, YUMA, AZ 85364(928) 328-8393 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arizona Medical Center Pllc NPPES

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

ARIZONA MEDICAL CENTER PLLC (NPI 1619057932) is a healthcare organization registered as an internal medicine in Yuma, Arizona and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 29, 2028 and lists Manjunath Nathan, Physician, as its authorized official.

NPPES Registry Identity

NPI1619057932
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARIZONA MEDICAL CENTER PLLC
Location Address2095 W 24TH ST STE AYuma, AZ 85364-6243
Mailing Address2095 W 24th St Ste AYuma, AZ 85364-6243 · (928) 328-8393
Phone(928) 328-8393
Organization SubpartNo
Authorized OfficialManjunath NathanPhysician · (928) 328-8393
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 19, 2012
✔ NPI 1619057932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 36116
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2095 W 24TH ST STE A, Yuma, AZ 85364
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Other Identifiers 2

Medicare UPIN167365AZ
Medicaid153563AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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 Medical Center 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 Medical Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Manjunath Nathan, M.D
Internal Medicine
NPI 1225024896
2095 W 24TH ST SUITE A
Yuma, AZ 85364
(928) 328-8393
✔ PECOS✔ Accepts Medicare0.1 mi

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 03D1085932

Arizona Medical Center · Yuma, AZ
Active · expires Jun 29, 2028
CLIA Number03D1085932
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorManjunath Nathan, MD
Laboratory Phone(928) 328-8393
Laboratory LocationArizona Medical Center2095 W 24th St Ste A, Yuma, AZ 85364
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 Arizona Medical Center PLLC's NPI number?

The NPI number for Arizona Medical Center PLLC is 1619057932. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Arizona Medical Center PLLC located?

Arizona Medical Center PLLC is located at 2095 W 24th St Ste A, Yuma, AZ 85364. The listed phone number is (928) 328-8393.

What is Arizona Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Arizona Medical Center PLLC enrolled in Medicare?

Yes. Arizona Medical Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Medical Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Arizona Medical Center 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 Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1085932) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arizona Medical Center PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Arizona Medical Center 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 Medical Center PLLC was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.