COLLIN UDALL M.D. NPI 1861495434

NPI Information

  • NPI: 1861495434
  • Provider Name: COLLIN UDALL, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3048 E BASELINE RD
    STE 109
    MESA, AZ
    ZIP 85204
  • Phone: (480) 632-1117

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NPI Details

Collin Udall, M.D. is a family medicine in Mesa, AZ with 44 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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