Bethel Hills Clinic PLLC
NPI 1578104154 · Multi-Specialty Clinic/Center · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethel Hills Clinic PLLC is a Multi-Specialty Clinic/Center organization in Phoenix, AZ (NPI 1578104154).
Provider details
- NPI number
- 1578104154
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olubukola Komolafe, Medical Director(832) 542-3181
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 4446 E Des MoinesMesa, AZ 85205-8520Phone: (832) 542-3181
- 1810 E Sahara Ave Ste 100Las Vegas, NV 89104-3707Phone: (702) 530-4531Fax: (702) 660-7123
- 650 Ne Holladay St Ste 1600Portland, OR 97232-2035Phone: (503) 766-6537Fax: (503) 766-6537
- 400 Union Ave Se Ste 200Olympia, WA 98501-2060Phone: (360) 394-6039Fax: (360) 394-6039
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Frequently asked questions
- What is Bethel Hills Clinic PLLC's NPI number?
- Bethel Hills Clinic PLLC's National Provider Identifier (NPI) is 1578104154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethel Hills Clinic PLLC?
- Bethel Hills Clinic PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bethel Hills Clinic PLLC located?
- Bethel Hills Clinic PLLC's practice location on file with NPPES is 13838 S 46th Pl Ste 340, Phoenix, AZ 85044-7805.
- What is Bethel Hills Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bethel Hills Clinic PLLC is (832) 542-3181.
- Does Bethel Hills Clinic PLLC accept Medicare?
- Bethel Hills Clinic PLLC 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 Bethel Hills Clinic PLLC?
- The authorized official listed on Bethel Hills Clinic PLLC's NPPES record is Olubukola Komolafe, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethel Hills Clinic PLLC's NPI active?
- Yes — Bethel Hills Clinic PLLC's NPI (1578104154) is active in the NPPES registry as of the last update on 2022-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.