Archwell Health Professional Services of Arizona, LLC
NPI 1558026880ActiveOrganization· Internal Medicine· Mesa, AZ
Internal Medicine in Mesa, Arizona, registered in NPPES in November 2021. The authorized official on file is Amy Moddesette, Sr. Director, Managed Care Ops. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558026880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2021 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
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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