Desert Ridge Medical Group
NPI 1386133080ActiveOrganization· General Practice· Phoenix, AZ
General Practice in Phoenix, Arizona, registered in NPPES in May 2018. The authorized official on file is Ellie Descalzo, Credentialing Officer. Enrolled in Medicare as dme supplier - medical supply company and part b supplier - clinic/group practice.
Overview
| NPI | 1386133080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2018 |
| Last updated in NPPES | Oct 13, 2023 |
| Certified by provider | Oct 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Physician Assistant | 363A00000X | — | — |
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 DME Supplier - Medical Supply Company (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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