Innovative Diabetic Center, LLC
NPI 1235997602 · Family Medicine Physician · Scottsdale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Diabetic Center, LLC is a Family Medicine Physician organization in Scottsdale, AZ (NPI 1235997602).
Provider details
- NPI number
- 1235997602
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Hunn, President(480) 493-0900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
- Licensed Practical Nurse164W00000X
Nursing Service Providers
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Infusion Therapy Registered Nurse163WI0500X
Nursing Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Frequently asked questions
- What is Innovative Diabetic Center, LLC's NPI number?
- Innovative Diabetic Center, LLC's National Provider Identifier (NPI) is 1235997602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Diabetic Center, LLC?
- Innovative Diabetic Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Diabetic Center, LLC located?
- Innovative Diabetic Center, LLC's practice location on file with NPPES is 10210 N 92nd St Ste 104, Scottsdale, AZ 85258-4531.
- What is Innovative Diabetic Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Diabetic Center, LLC is (480) 493-0900.
- Does Innovative Diabetic Center, LLC accept Medicare?
- Innovative Diabetic Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Diabetic Center, LLC?
- The authorized official listed on Innovative Diabetic Center, LLC's NPPES record is Amy Hunn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Diabetic Center, LLC's NPI active?
- Yes — Innovative Diabetic Center, LLC's NPI (1235997602) is active in the NPPES registry as of the last update on 2025-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.