MS. DIANNA QUEHEILLALT
NPI 1811419302
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Dianna Queheillalt's NPI number?

The NPI number for Dianna Queheillalt is 1811419302. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Q: What is Dianna Queheillalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since July 17, 2017PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-4063 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Aug 31, 2020, Jul 7, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Dianna Queheillalt NPPES

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

MS. DIANNA QUEHEILLALT (NPI 1811419302) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (313133) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811419302

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. DIANNA QUEHEILLALT

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124

Phone(602) 933-4063

Sole ProprietorNo

Enumeration DateJuly 17, 2017

Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1811419302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 313133

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dianna Queheillalt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.

Hospitalist