OrganizationActive
Old Town Health LLC
NPI 1184229270 · Internal Medicine Physician · Phoenix, AZ
Old Town Health LLC is a Internal Medicine Physician organization in Phoenix, AZ (NPI 1184229270).
Provider details
- NPI number
- 1184229270
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deepa Tandon, Manager/Authorized Official(610) 969-5215
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4700 E Thomas Rd Ste 106
Phoenix, AZ 85018-7702
Phone: (610) 969-5215
Street-level locationGet directions
Mailing address
4700 E Thomas Rd Ste 106
Phoenix, AZ 85018-7702
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Frequently asked questions
- What is Old Town Health LLC's NPI number?
- Old Town Health LLC's National Provider Identifier (NPI) is 1184229270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Health LLC?
- Old Town Health LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Old Town Health LLC located?
- Old Town Health LLC's practice location on file with NPPES is 4700 E Thomas Rd Ste 106, Phoenix, AZ 85018-7702.
- What is Old Town Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Town Health LLC is (610) 969-5215.
- Who is the authorized official for Old Town Health LLC?
- The authorized official listed on Old Town Health LLC's NPPES record is Deepa Tandon, Manager/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Health LLC's NPI active?
- Yes — Old Town Health LLC's NPI (1184229270) is active in the NPPES registry as of the last update on 2021-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.