Desert Interventional Spine Consultants
NPI 1154651750ActiveOrganization· Specialist· Gilbert, AZ
Specialist in Gilbert, Arizona, registered in NPPES in January 2010. The authorized official on file is Ajay N. Yeddu, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154651750 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2010 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 34866 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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