Provider Type Icon

COLLIN UDALL M.D. NPI 1861495434


NPI Information

NPI: 1861495434
Provider Name: COLLIN UDALL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: NEWCO HATFIELD MEDICAL GROUP PLLC

PECOS Registration: Yes

Address:
3048 E BASELINE RD
STE 109
MESA, AZ
ZIP 85204
Phone: (480) 632-1117
Get Directions

Collin Udall, M.D. is a family medicine in Mesa, AZ with 42 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Collin Udall, M.D. NPI is 1861495434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1982

The provider's business location address is:

3048 E BASELINE RD
STE 109
MESA, AZ
ZIP 85204-287
Phone: (480) 632-1117
Fax: (480) 632-1118

The NPI 1861495434 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 5/27/2005 and was last updated on 9/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine15439ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1621104OTHERARIZONAAETNA INSURANCE
2Z65457MEDICARE PINARIZONA
31Z1014OTHERARIZONAHEALTHNET
4B00468MEDICARE UPINARIZONA
5AZ0878720OTHERARIZONABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.