Southwest I.d. & Medical Clinic, Lc
NPI 1275563975 · Infectious Disease Physician · Prescott Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest I.d. & Medical Clinic, Lc is a Infectious Disease Physician organization in Prescott Valley, AZ (NPI 1275563975).
Provider details
- NPI number
- 1275563975
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alpana Jetly, Manager(928) 772-3340
- License
- 29064 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-05
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Frequently asked questions
- What is Southwest I.d. & Medical Clinic, Lc's NPI number?
- Southwest I.d. & Medical Clinic, Lc's National Provider Identifier (NPI) is 1275563975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest I.d. & Medical Clinic, Lc?
- Southwest I.d. & Medical Clinic, Lc is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Southwest I.d. & Medical Clinic, Lc located?
- Southwest I.d. & Medical Clinic, Lc's practice location on file with NPPES is 3235 N Windsong Dr, Prescott Valley, AZ 86314-1222.
- What is Southwest I.d. & Medical Clinic, Lc's phone number?
- The practice phone number listed in the NPPES registry for Southwest I.d. & Medical Clinic, Lc is (928) 772-3340.
- Does Southwest I.d. & Medical Clinic, Lc accept Medicare?
- Southwest I.d. & Medical Clinic, Lc 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 Southwest I.d. & Medical Clinic, Lc?
- The authorized official listed on Southwest I.d. & Medical Clinic, Lc's NPPES record is Alpana Jetly, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest I.d. & Medical Clinic, Lc's NPI active?
- Yes — Southwest I.d. & Medical Clinic, Lc's NPI (1275563975) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.