CH Specialty Services Az LLC - Medicare Primary Care in Surprise, AZ

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CH Specialty Services Az LLC is a medicare enrolled primary clinic (Internal Medicine) in Surprise, Arizona. The current practice location for CH Specialty Services Az LLC is 13755 N Litchfield Rd Ste 105, Surprise, Arizona. For appointments, you can reach them via phone at (337) 408-0797. The mailing address for CH Specialty Services Az LLC is 5750 Johnston St Ste 205, Lafayette, Louisiana and phone number is (337) 408-0797.

CH Specialty Services Az LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1982303392. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 408-0797.

Contact Information

CH Specialty Services Az LLC
13755 N Litchfield Rd Ste 105
Surprise
AZ 85379-4288
(337) 408-0797
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCH Specialty Services Az LLC
SpecialityInternal Medicine
Location13755 N Litchfield Rd Ste 105, Surprise, Arizona
Authorized Official Name and PositionNicole Howard (SR VP OF ADMINISTRATIVE SERVICES)
Authorized Official Contact3374080797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
CH Specialty Services Az LLC
5750 Johnston St Ste 205
Lafayette
LA 70503-5345

Ph: (337) 408-0797		CH Specialty Services Az LLC
13755 N Litchfield Rd Ste 105
Surprise
AZ 85379-4288

Ph: (337) 408-0797

NPI Details:

NPI Number1982303392
Provider Enumeration Date02/24/2023
Last Update Date03/21/2025
Certification Date03/21/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7214301621
Medicare Enrollment IDO20230327002334

Medical Identifiers

Medical identifiers for CH Specialty Services Az LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982303392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. CH Specialty Services Az LLC acts as a billing entity for following providers:
Provider NameKenneth Lee Pettit
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1447296298
PECOS PAC ID: 4284616616
Enrollment ID: I20040609000852
Provider NameArun Lakshmipathy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962469791
PECOS PAC ID: 2466410345
Enrollment ID: I20041222000810
Provider NameDanielle D Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851385207
PECOS PAC ID: 8820016538
Enrollment ID: I20051110000412
Provider NameKim Susanne Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962464206
PECOS PAC ID: 0345309704
Enrollment ID: I20081030000555
Provider NameChristina L Summers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821319872
PECOS PAC ID: 7113101098
Enrollment ID: I20110419000057
Provider NameSree Devi Kumaravel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609102110
PECOS PAC ID: 5698946861
Enrollment ID: I20110920000087
Provider NameJuliann E Lockwood
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1205027315
PECOS PAC ID: 0446347876
Enrollment ID: I20120419000242
Provider NameBrenda F Geisler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861736464
PECOS PAC ID: 5294768453
Enrollment ID: I20121210000102
Provider NameHilda M Defoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235470402
PECOS PAC ID: 0446493191
Enrollment ID: I20130827000789
Provider NameJohn Modrzejewski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831439413
PECOS PAC ID: 2769617612
Enrollment ID: I20131030000955
Provider NameValerie a Bradley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073801650
PECOS PAC ID: 0143459859
Enrollment ID: I20140129000618
Provider NameChidinma F Acheampong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154718328
PECOS PAC ID: 3971824087
Enrollment ID: I20150602000013
Provider NameChristine Downey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851774707
PECOS PAC ID: 6204144660
Enrollment ID: I20151005001103
Provider NameOlaide Omowonuola Abiodun
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1316292121
PECOS PAC ID: 7810206851
Enrollment ID: I20151014001823
Provider NameDiana Mccully
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972973022
PECOS PAC ID: 5991002834
Enrollment ID: I20160321002023
Provider NameBryan Lazaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912458845
PECOS PAC ID: 4880976521
Enrollment ID: I20170112003390
Provider NameStephanie L Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114437084
PECOS PAC ID: 9436413895
Enrollment ID: I20180510002328
Provider NameDominique Pinilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124103965
PECOS PAC ID: 4880604446
Enrollment ID: I20180705001546
Provider NameLeigh C Luster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740707744
PECOS PAC ID: 2466702584
Enrollment ID: I20180911000394
Provider NameJennifer Leigh Milham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588221386
PECOS PAC ID: 5395076368
Enrollment ID: I20191007002112
Provider NameTarreq M Noori
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801250071
PECOS PAC ID: 4486986346
Enrollment ID: I20191024003475
Provider NameBrittany a Mcarthur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649653379
PECOS PAC ID: 2062729262
Enrollment ID: I20191029001660
Provider NameDeborah Koval
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811543317
PECOS PAC ID: 7214369024
Enrollment ID: I20191118000049
Provider NameEjiro Ojameruaye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376027144
PECOS PAC ID: 3779827381
Enrollment ID: I20200303002926
Provider NameJennifer Barney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245626472
PECOS PAC ID: 3072858893
Enrollment ID: I20200528001333
Provider NameMargo Ruth Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699365031
PECOS PAC ID: 3779729181
Enrollment ID: I20210416000567
Provider NameMagimvuyu N Mumbere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629736103
PECOS PAC ID: 6901299791
Enrollment ID: I20220129000295
Provider NameManmeet Kaur Chahal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144963018
PECOS PAC ID: 7416336904
Enrollment ID: I20220613002277
Provider NameEsperanza F Hernandez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1154645844
PECOS PAC ID: 5799814588
Enrollment ID: I20220908003438
Provider NameMatthew Theodore Stuart
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851824163
PECOS PAC ID: 6002232048
Enrollment ID: I20221207003177
Provider NameAudrianna D Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245766294
PECOS PAC ID: 1355615626
Enrollment ID: I20230120001081
Provider NameRaquel Isabel Ortiz Cidone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154047629
PECOS PAC ID: 5395110555
Enrollment ID: I20230331002157
Provider NameBrinda Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790418960
PECOS PAC ID: 5799150272
Enrollment ID: I20230414001631
Provider NameCody Guggenmos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396242731
PECOS PAC ID: 9739514100
Enrollment ID: I20240109004347
Provider NameAlexandra Parise
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1306326897
PECOS PAC ID: 7315291531
Enrollment ID: I20240329002342
Provider NameAline Amisi Njiraini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710740501
PECOS PAC ID: 7012357148
Enrollment ID: I20240506003605
Provider NamePaula Requeijo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427084763
PECOS PAC ID: 8325003742
Enrollment ID: I20240611003742
Provider NameBrandon Dang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871356048
PECOS PAC ID: 1557804416
Enrollment ID: I20240619002049
Provider NameShaun Christian Java
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265297097
PECOS PAC ID: 3173067014
Enrollment ID: I20240702001779
Provider NameDavid Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922435759
PECOS PAC ID: 2365673464
Enrollment ID: I20240819002493
Provider NameApril Monique Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376373134
PECOS PAC ID: 5294274304
Enrollment ID: I20240903001710
Provider NameJared D Posey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093483711
PECOS PAC ID: 5890235048
Enrollment ID: I20240913002973
Provider NameBenjamin Scott Reine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922373935
PECOS PAC ID: 6305075805
Enrollment ID: I20240920002749
Provider NameMia Stroble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215575956
PECOS PAC ID: 7618398918
Enrollment ID: I20241003003692
Provider NameLilia Pedrego
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770895054
PECOS PAC ID: 9830412824
Enrollment ID: I20241114004224
Provider NameLeslie Sheffield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538532528
PECOS PAC ID: 5799089157
Enrollment ID: I20241204002148
Provider NameLeah Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063024198
PECOS PAC ID: 0244641132
Enrollment ID: I20241230002853
Provider NameVictoria Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396478830
PECOS PAC ID: 2466834023
Enrollment ID: I20250221002811
Provider NameEmiola Sanni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003264755
PECOS PAC ID: 3779728464
Enrollment ID: I20250522000890
Provider NameCoreen Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952957722
PECOS PAC ID: 6608209861
Enrollment ID: I20250617002053
Provider NameAdemola Aremu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356796916
PECOS PAC ID: 1052603768
Enrollment ID: I20250820003168
Provider NameChinyere Okorie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689914277
PECOS PAC ID: 0446646434
Enrollment ID: I20251105003109
Provider NameRaven King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134933054
PECOS PAC ID: 2365926128
Enrollment ID: I20260514001835
Provider NameRamon Trinidad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588211627
PECOS PAC ID: 2860829355
Enrollment ID: I20260602000570
Provider NameRyan Monti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629496880
PECOS PAC ID: 7214201037
Enrollment ID: I20260623003633

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.