ARIZONA GRAND MEDICAL CENTER PLLC
NPI 1619998705
Clinic/Center - Multi-Specialty in Prescott, AZ
About Arizona Grand Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA GRAND MEDICAL CENTER PLLC (NPI 1619998705), doing business as Dewey Medical Center, is a healthcare organization registered as a multi-specialty in Prescott, Arizona and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Prescott and lists Melissa Mayoral, Accounts Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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 Grand Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Arizona Grand Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Arizona Grand Medical Center PLLC's NPI number?
The NPI number for Arizona Grand Medical Center PLLC is 1619998705. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Dewey Medical Center.
Where is Arizona Grand Medical Center PLLC located?
Arizona Grand Medical Center PLLC is located at 3777 Crossings Dr, Prescott, AZ 86305. The listed phone number is (623) 934-5600.
What is Arizona Grand Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Arizona Grand Medical Center PLLC enrolled in Medicare?
Yes. Arizona Grand Medical Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona Grand Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Arizona Grand Medical Center PLLC, in Internal Medicine and Pulmonary Disease. 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, 2 practice 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 Arizona Grand Medical Center PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Arizona Grand Medical Center Pllc · NPI 1619998705
Multi-Specialty organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1619998705 (Entity type: Organization)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Dewey Medical Center (Doing Business As)
- **Organization subpart:** Yes (part of Arizona Grand Medical Center Pllc)
- **Authorized official:** Melissa Mayoral, ACCOUNTS MANAGER
## Practice location
- **Address:** 3777 CROSSINGS DR, Prescott, AZ 86305-7121
- **Phone:** (623) 934-5600 · **Fax:** (623) 934-5603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Pulmonary Disease (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **Other identifiers:** Other CK3166 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1619998705) · Data from the CMS NPPES public registry.