Archwell Health Professional Services of Arizona, LLC
NPI 1558026880 · Internal Medicine Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1558026880
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Moddesette, Sr. Director, Managed Care Ops(629) 224-1614
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
16 documented practice locations
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
Additional practice locations (15)
- 725 W Apache Trl Ste 4Apache Junction, AZ 85120-3963Phone: (480) 870-7130Fax: (480) 906-2171
- 6843 E Main StMesa, AZ 85207-8207Phone: (480) 870-7300Fax: (480) 906-2172
- 1060 E Southern Ave Ste 106Mesa, AZ 85204-5058Phone: (480) 870-7400Fax: (480) 906-2174
- 9750 W Peoria Ave Ste 120Peoria, AZ 85345-6108Phone: (623) 281-1620Fax: (480) 906-2178
- 4420 E Mcdowell RdPhoenix, AZ 85008-4504Phone: (602) 858-4295Fax: (480) 906-2177
- 4220 W Bethany Home RdPhoenix, AZ 85019-1808Phone: (623) 281-1258Fax: (480) 906-2175
- 8913 N 19th AvePhoenix, AZ 85021-4206Phone: (602) 858-4361Fax: (480) 906-2176
- 10050 W Bell Rd Ste 35Sun City, AZ 85351-1290Phone: (623) 281-1130
Registry dates
- Enumerated
- 2021-11-02
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.