Active NPI 1780995670 Individual Practitioner Male Practitioner

Dr. Casey Brant Lythgoe , MD

Urology • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Casey Lythgoe, MD is a certified Urology practicing in Mesa, AZ. With approximately 16 years of clinical experience since graduating from Medical College Of Wisconsin in 2010, Dr. Lythgoe delivers high-quality medical care to the local community at 6116 E ARBOR AVE BLDG 2.

Dr. Lythgoe is affiliated with East Valley Urology Center Plc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6116 E Arbor Ave Bldg 2

Mesa, AZ 852066107

Telephone 4805655924

Fax 4802191771

Associated Practice Facility / Clinic

🏢 East Valley Urology Center Plc Facility NPI 1063290401

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Mesa, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -3.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

21 Specialists

Practicing in Mesa, AZ (295 Statewide)

Telehealth Adoption Rate

38.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lythgoe (16 Years) 16 Yrs

Mesa Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	544	325	$346.67	$122.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$591.61	$160.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	139	42	$60.75	$22.42
52000 Diagnostic exam of bladder and urethra using an endoscope	126	119	$500.10	$229.38
76000 Imaging guidance for procedure, 60 minutes or less	52	38	$133.54	$13.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$579.13	$157.03
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$219.10	$87.73
52356 Crushing of stone of ureter with insertion of stent using an endoscope	31	23	$1221.10	$385.35
81002 Urinalysis, manual test	29	28	$11.00	$3.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	22	$739.12	$305.75
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	19	$1407.23	$126.91
74420 Imaging of urinary tract	20	19	$93.50	$22.43
51798 Ultrasound measurement of bladder capacity after voiding	20	17	$58.00	$10.80
51703 Complicated insertion of bladder tube	19	12	$378.00	$143.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	263	$323.61	$123.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	217	217	$600.00	$160.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	157	57	$61.00	$22.38
52000 Diagnostic exam of bladder and urethra using an endoscope	133	124	$497.00	$232.94
51798 Ultrasound measurement of bladder capacity after voiding	49	38	$58.00	$10.06
51702 Simple insertion of temporary bladder tube	46	13	$190.00	$59.53
81002 Urinalysis, manual test	44	36	$11.00	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$610.00	$168.26
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$219.00	$87.58
76000 Imaging guidance for procedure, 60 minutes or less	31	26	$142.00	$15.01
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$738.00	$309.01
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$1278.00	$407.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	12	$1478.00	$121.90
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$5537.00	$659.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	171	$323.00	$125.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	147	51	$61.00	$22.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$600.00	$163.47
81002 Urinalysis, manual test	89	59	$11.00	$3.40
52000 Diagnostic exam of bladder and urethra using an endoscope	85	72	$497.00	$238.36
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$219.00	$88.17
51702 Simple insertion of temporary bladder tube	38	11	$190.00	$61.30
51798 Ultrasound measurement of bladder capacity after voiding	28	23	$58.00	$9.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$610.00	$194.32
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$738.00	$318.28
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$1278.00	$405.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	1,872	87	$52.64	$34.88
87801 Detection test for multiple organisms	432	87	$105.30	$69.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	228	$623.26	$127.24
81003 Automated urinalysis test	364	209	$13.02	$2.25
87481 Detection test for candida species (yeast), amplified probe technique	288	87	$52.64	$34.89
87529 Detection test by nucleic acid for herpes simplex virus, amplified probe technique	288	87	$52.64	$34.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$894.48	$164.50
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	144	87	$52.64	$34.88
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	144	87	$52.64	$34.88
87651 Detection test for Strep (Streptococcus, group A)	144	87	$52.64	$34.88
87532 Detection test for herpes virus-6	144	87	$52.64	$34.88
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	144	87	$52.64	$34.88
87496 Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique	144	87	$52.64	$34.88
87493 Detection test for clostridium difficile	144	87	$55.91	$37.04
99213 Established patient office or other outpatient visit, typically 15 minutes	127	106	$395.48	$89.40
52000 Diagnostic exam of bladder and urethra using an endoscope	121	108	$1098.68	$229.70
J0696 Injection, ceftriaxone sodium, per 250 mg	108	26	$3.08	$0.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	68	$304.70	$70.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	79	$619.41	$133.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	39	$76.45	$13.62
J1580 Injection, garamycin, gentamicin, up to 80 mg	51	11	$12.95	$1.83
51798 Ultrasound measurement of bladder capacity after voiding	46	42	$54.96	$9.92
76872 Ultrasound scan of pelvic region through rectum	28	26	$763.63	$131.60
51741 Electronic assessment of bladder emptying	18	12	$102.43	$9.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$423.87	$41.23
74420 Imaging of urinary tract	14	11	$92.85	$24.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$2162.95	$410.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$182.95	$55.12
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$1085.69	$184.34
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$1556.39	$308.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	365	215	$711.98	$108.00
81003 Automated urinalysis test	261	173	$17.43	$2.22
J0696 Injection, ceftriaxone sodium, per 250 mg	184	42	$10.47	$0.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$1021.30	$163.91
52000 Diagnostic exam of bladder and urethra using an endoscope	109	96	$1361.91	$207.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	75	$809.38	$138.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	59	$483.21	$72.74
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	71	61	$395.52	$33.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	52	$107.10	$14.15
51798 Ultrasound measurement of bladder capacity after voiding	61	52	$84.60	$10.06
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$478.65	$74.58
J1580 Injection, garamycin, gentamicin, up to 80 mg	41	12	$13.87	$1.88
51741 Electronic assessment of bladder emptying	41	38	$121.25	$5.77
97032 Application of electrical stimulation with therapist present, each 15 minutes	40	23	$83.32	$12.12
97750 Test or measurement for functional capacity, each 15 minutes	40	23	$176.16	$34.95
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	39	36	$1456.00	$270.30
51700 Simple bladder irrigation and/or instillation	36	11	$546.75	$69.98
76872 Ultrasound scan of pelvic region through rectum	36	31	$1097.43	$137.06
51797 Insertion of device into abdomen with pressure and urine flow rate study	34	31	$814.83	$111.37
51702 Simple insertion of temporary bladder tube	32	12	$450.66	$60.20
90912 Biofeedback training for bowel or bladder control, initial 15 minutes	27	17	$521.21	$80.12
90913 Biofeedback training for bowel or bladder control, each additional 15 minutes	26	15	$223.97	$32.69
81002 Urinalysis, manual test	26	25	$24.88	$3.46
91122 Study of rectum sensitivity and function	25	20	$1262.80	$196.02
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	14	14	$14245.44	$1796.92
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$2478.95	$402.61
74420 Imaging of urinary tract	13	12	$217.44	$25.72
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$1791.94	$273.95
99219 Hospital observation care, typically 50 minutes	12	12	$668.46	$135.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$144.05	$22.89
55700 Biopsy of prostate gland	11	11	$1637.73	$249.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	488	281	$217.00	$106.60
81003 Automated urinalysis test	251	185	$16.00	$2.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	203	203	$333.00	$162.67
51798 Ultrasound measurement of bladder capacity after voiding	142	127	$91.00	$12.41
J0696 Injection, ceftriaxone sodium, per 250 mg	133	31	$36.00	$0.58
52000 Diagnostic exam of bladder and urethra using an endoscope	122	112	$645.00	$186.37
97750 Test or measurement for functional capacity, each 15 minutes	122	74	$83.00	$34.98
97032 Application of electrical stimulation with therapist present, each 15 minutes	117	71	$51.00	$12.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	100	$288.00	$136.61
81002 Urinalysis, manual test	103	96	$15.00	$3.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	78	$152.00	$72.02
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	95	88	$588.00	$49.89
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	57	13	$2932.00	$948.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	44	$90.00	$16.56
51797 Insertion of device into abdomen with pressure and urine flow rate study	50	49	$858.00	$136.33
91122 Study of rectum sensitivity and function	49	45	$511.00	$240.57
J1580 Injection, garamycin, gentamicin, up to 80 mg	46	12	$5.00	$1.79
51741 Electronic assessment of bladder emptying	42	41	$261.00	$9.61
76872 Ultrasound scan of pelvic region through rectum	38	37	$405.00	$127.09
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$144.00	$72.88
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	36	35	$872.00	$327.39
90911 Biofeedback training, perineal muscles, anorectal or urethral sphincter	32	27	$193.00	$86.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	25	$68.00	$22.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$598.00	$56.77
55700 Biopsy of prostate gland	17	17	$709.00	$250.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$2185.07	$126.59
99219 Hospital observation care, typically 50 minutes	14	14	$251.00	$135.66
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	14	14	$939.00	$358.33
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$3774.00	$1266.42
74420 Imaging of urinary tract	13	12	$57.00	$25.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	501	259	$217.00	$105.02
81003 Automated urinalysis test	278	186	$16.00	$2.69
51798 Ultrasound measurement of bladder capacity after voiding	191	152	$91.00	$15.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	175	175	$333.00	$161.64
81002 Urinalysis, manual test	121	111	$15.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	110	87	$144.00	$71.70
52000 Diagnostic exam of bladder and urethra using an endoscope	98	81	$645.00	$163.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	73	$152.00	$71.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	85	$288.00	$134.92
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	81	77	$588.00	$45.29
97750 Test or measurement for functional capacity, each 15 minutes	76	50	$83.00	$37.23
97032 Application of electrical stimulation with therapist present, each 15 minutes	75	49	$51.00	$12.27
51741 Electronic assessment of bladder emptying	57	53	$261.00	$11.08
51797 Insertion of device into abdomen with pressure and urine flow rate study	55	55	$858.00	$112.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	31	$90.00	$20.08
J0696 Injection, ceftriaxone sodium, per 250 mg	45	12	$36.00	$0.61
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	42	42	$872.00	$314.25
74420 Imaging of urinary tract	39	30	$57.00	$16.81
J1580 Injection, garamycin, gentamicin, up to 80 mg	29	12	$5.00	$1.48
91122 Study of rectum sensitivity and function	28	27	$511.00	$226.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	21	$68.00	$21.20
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	21	$1341.38	$397.66
90911 Biofeedback training, perineal muscles, anorectal or urethral sphincter	20	16	$193.00	$85.31
76775 Limited ultrasound scan behind abdominal cavity	18	17	$332.00	$57.20
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$620.00	$219.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$2056.53	$121.34
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	13	13	$939.00	$337.51
76872 Ultrasound scan of pelvic region through rectum	13	13	$405.00	$95.27
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$598.00	$59.05
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$1729.00	$120.35
55700 Biopsy of prostate gland	12	12	$709.00	$246.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	178	$144.00	$71.41
81003 Automated urinalysis test	203	151	$16.00	$2.98
51798 Ultrasound measurement of bladder capacity after voiding	178	139	$91.00	$18.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	115	$152.00	$71.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$333.00	$159.82
81002 Urinalysis, manual test	115	103	$15.00	$3.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	84	$217.00	$104.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	87	$288.00	$135.17
97750 Test or measurement for functional capacity, each 15 minutes	76	43	$83.00	$32.20
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	76	74	$588.00	$46.53
97032 Application of electrical stimulation with therapist present, each 15 minutes	75	43	$51.00	$14.01
52000 Diagnostic exam of bladder and urethra using an endoscope	67	57	$645.00	$162.07
51797 Insertion of device into abdomen with pressure and urine flow rate study	49	49	$858.00	$110.86
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	46	46	$872.00	$311.82
51741 Electronic assessment of bladder emptying	42	41	$261.00	$9.33
74420 Imaging of urinary tract	30	26	$57.00	$17.54
91122 Study of rectum sensitivity and function	29	25	$511.00	$225.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	14	$90.00	$25.13
90911 Biofeedback training, perineal muscles, anorectal or urethral sphincter	23	17	$193.00	$83.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$419.00	$203.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$400.00	$188.75
99219 Hospital observation care, typically 50 minutes	17	17	$251.00	$134.38
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	14	$1272.00	$419.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$2442.13	$154.35
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	13	$1939.00	$71.92
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$1729.00	$126.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$68.00	$19.91
76775 Limited ultrasound scan behind abdominal cavity	12	12	$332.00	$57.99

Medical Specialties & State Licenses

CMS Verified: 2022-01-03

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License AZ 50391

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License IL 125.058373

Hospital & Practice Group Affiliations

East Valley Urology Center Plc

6116 E Arbor Ave, Mesa, AZ 852066103

Phone: 4802191010

Secondary Practice Locations

1155 E Combs Rd Ste 105

Queen Creek, AZ 851401218

Phone: 4802191010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Jocelyn Moll

Nurse Practitioner - Family

NPI 1285090902

Christopher Morris , PA-C

Physician Assistant

NPI 1366451007

Physician Assistant (Certified)

Dr. Harpreet Wadhwa , MD

Urology

NPI 1386943801

Doctor of Medicine (M.D.)

Kacy Newcomb , FNP-BC

Nurse Practitioner - Family

NPI 1558003830

Family Nurse Practitioner (Board Certified)

Dr. Rahul Mehan , MD

Urology

NPI 1770740367

Doctor of Medicine (M.D.)

John Williams

Urology

NPI 1942797477

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location January 03, 2022

Registered at 6116 E ARBOR AVE BLDG 2, MESA, AZ 852066107 (Tel: 4805655924)

📍

Updated Business Mailing Address January 03, 2022

Registered at 6116 E ARBOR AVE STE 108, MESA, AZ 852066103 (Tel: 4802191010)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Urology (License #50391 in AZ)

📍

Updated Practice Location April 01, 2020

Registered at 2730 S VAL VISTA DR STE 177, GILBERT, AZ 852951683 (Tel: 4803910200)

✅

NPI Profile Active June 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2010

Registered at 301 N 8TH ST, 4B, SPRINGFIELD, IL 627011041 (Tel: 2175457500)

📍

Updated Business Mailing Address June 25, 2010

Registered at PO BOX 19665, SPRINGFIELD, IL 627949665 (Tel: 2175457500)

👤

Provider Name / Credentials Updated June 25, 2010

Recorded as CASEY LYTHGOE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2010

Urology (License #125.058373 in IL)

🟢

Initial NPI Registration & Enumeration June 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780995670

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 25, 2010

Last Update: January 03, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6116 E Arbor Ave Ste 108

Mesa, AZ 852066103

Phone: 4802191010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.