STAR CLINIC LLC
NPI 1932608106
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Peoria, AZ
About Star Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAR CLINIC LLC (NPI 1932608106) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Peoria, Arizona and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Gilbert, and lists Tara Yeganeh, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Star Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Star Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 2
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 03D2255048
Star Clinic, LLC · Gilbert, AZCertificate of Waiver 03D2147170
Star Clinic LLC · Peoria, AZFrequently 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 Star Clinic LLC's NPI number?
The NPI number for Star Clinic LLC is 1932608106. It was assigned to this organization in the NPPES registry on February 2, 2018.
Where is Star Clinic LLC located?
Star Clinic LLC is located at 14155 N 83rd Ave Ste 138, Peoria, AZ 85381. The listed phone number is (623) 271-8666.
What is Star Clinic LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.
Is Star Clinic LLC enrolled in Medicare?
Yes. Star Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Star Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Star Clinic LLC. 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. The largest specialties are Obstetrics/Gynecology (4) and Nurse Practitioner (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Star Clinic LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Star Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Star Clinic LLC 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 Star Clinic LLC was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Star Clinic Llc · NPI 1932608106
Urogynecology and Reconstructive Pelvic Surgery organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since February 2, 2018.
## Identity
- **NPI:** 1932608106 (Entity type: Organization)
- **Enumerated:** February 2, 2018
- **Primary specialty:** Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery · taxonomy 207VF0040X
- **Organization subpart:** No
- **Authorized official:** Tara Yeganeh, PRACTICE MANAGER
## Practice location
- **Address:** 14155 N 83RD AVE STE 138, Peoria, AZ 85381-5652
- **Phone:** (623) 271-8666 · **Fax:** (623) 271-9229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (4), Nurse Practitioner (2); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2025
- **Other identifiers:** Medicaid 335672 (AZ)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932608106) · Data from the CMS NPPES public registry.