Ellsworth Physician Services
NPI 1386220937ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Mesa, AZ
Pain Medicine, Interventional Pain Medicine in Mesa, Arizona, registered in NPPES in March 2021. The authorized official on file is Armen Derian, MD, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386220937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2021 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
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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