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DESERT VALLEY ADVANCED PAIN MANAGEMENT, PLLC
NPI 1851552400
Specialist in Phoenix, AZ

Active since June 17, 2008CLIA 03D2031392 · Waiver
11024 N 28TH DR, SUITE 160, PHOENIX, AZ 85029(602) 863-3924(602) 863-3926 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desert Valley Advanced Pain Management, Pllc NPPES

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

DESERT VALLEY ADVANCED PAIN MANAGEMENT, PLLC (NPI 1851552400) is a healthcare organization registered as a specialist in Phoenix, Arizona and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists James H Diede, President, as its authorized official.

NPPES Registry Identity

NPI1851552400
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDESERT VALLEY ADVANCED PAIN MANAGEMENT, PLLC
Location Address11024 N 28TH DR, SUITE 160Phoenix, AZ 85029-4377
Mailing Address11024 N 28th Dr, Suite 160Phoenix, AZ 85029-4377 · (602) 863-3924 · Fax (602) 863-3926
Phone(602) 863-3924
Fax(602) 863-3926
Organization SubpartNo
Authorized OfficialJames H DiedePresident · (602) 863-3924
Enumeration DateJune 17, 2008
Last NPPES UpdateApril 16, 2013
✔ NPI 1851552400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11024 N 28TH DR, Phoenix, AZ 85029
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Other Identifiers 1

OtherZ127383AZ · Medicare Ptan

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Valley Advanced Pain Management, 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 Desert Valley Advanced Pain Management, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Diede, M.D.
Interventional Pain Management
NPI 1679569685
11024 N 28TH DR STE:160
Phoenix, AZ 85029
(602) 863-3924
✔ 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.

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 03D2031392

Desert Valley Advanced Pain Management PLLC · Phoenix, AZ
Active · expires Oct 18, 2027
CLIA Number03D2031392
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorJames H. Diede
Laboratory Phone(602) 863-3924
Laboratory LocationDesert Valley Advanced Pain Management PLLC11024 N 28th Dr, Ste 160, Phoenix, AZ 85029
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 Desert Valley Advanced Pain Management, PLLC's NPI number?

The NPI number for Desert Valley Advanced Pain Management, PLLC is 1851552400. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is Desert Valley Advanced Pain Management, PLLC located?

Desert Valley Advanced Pain Management, PLLC is located at 11024 N 28th Dr Suite 160, Phoenix, AZ 85029. The listed phone number is (602) 863-3924.

What is Desert Valley Advanced Pain Management, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Desert Valley Advanced Pain Management, PLLC enrolled in Medicare?

Yes. Desert Valley Advanced Pain Management, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Valley Advanced Pain Management, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Desert Valley Advanced Pain Management, 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 Desert Valley Advanced Pain Management, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2031392) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Valley Advanced Pain Management, PLLC was last updated on April 16, 2013. 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.