DESERT INTERVENTIONAL SPINE CONSULTANTS
NPI 1154651750
Specialist in Gilbert, AZ

NPI Status: Active since January 04, 2010

Contact Information

1410 W GUADALUPE RD STE 125
GILBERT, AZ
ZIP 85233
Phone: (480) 838-1914
Fax: (480) 838-9434

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 03D1100251
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-01-2027

About DESERT INTERVENTIONAL SPINE CONSULTANTS

This page provides the complete NPI Profile along with additional information for Desert Interventional Spine Consultants, a provider established in Gilbert, Arizona operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154651750 assigned on January 2010. The practitioner's primary taxonomy code is 174400000X with license number 34866 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ajay N Yeddu Md (President)

NPI
1154651750
Provider Name
DESERT INTERVENTIONAL SPINE CONSULTANTS
Entity Type
Organization
Location Address
1410 W GUADALUPE RD STE 125 GILBERT, AZ 85233
Location Phone
(480) 838-1914
Location Fax
(480) 838-9434
Mailing Address
PO BOX 97 HIGLEY, AZ 85236
Mailing Phone
(480) 838-1914
Mailing Fax
(480) 838-9434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2010
Last Update Date
10-26-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
34866
License State
AZ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AJAY N YEDDU MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(480) 361-7680

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1100251
Facility Type
Physician Office
Certificate Effective Date
June 02, 2025
Certificate Expiration Date
June 01, 2027
Laboratory Director
AJAY N. YEDDU, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Desert Interventional Spine Consultants to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DESERT INTERVENTIONAL SPINE CONSULTANTS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154651750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041252710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 5 + 2 + 7 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154651750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154651750, enumerated in the NPI registry as an "organization" on January 04, 2010

The provider is located at 1410 W Guadalupe Rd Ste 125 Gilbert, Az 85233 and the phone number is (480) 838-1914

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D1100251 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 04, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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