Trident Clinical PLLC
NPI 1902204191 · Primary Care Clinic/Center · Peoria, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trident Clinical PLLC is a Primary Care Clinic/Center organization in Peoria, AZ (NPI 1902204191).
Provider details
- NPI number
- 1902204191
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Arvind Mahadevan, Medical Director(480) 241-2034
- License
- 40752 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Trident Health Center
Registry dates
- Enumerated
- 2014-12-20
- Last updated
- 2016-10-27
Frequently asked questions
- What is Trident Clinical PLLC's NPI number?
- Trident Clinical PLLC's National Provider Identifier (NPI) is 1902204191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trident Clinical PLLC?
- Trident Clinical PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Trident Clinical PLLC located?
- Trident Clinical PLLC's practice location on file with NPPES is 20340 N Lake Pleasant Rd Ste 109, Peoria, AZ 85382-9713.
- What is Trident Clinical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Trident Clinical PLLC is (623) 299-9988.
- Does Trident Clinical PLLC accept Medicare?
- Trident Clinical 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 Trident Clinical PLLC?
- The authorized official listed on Trident Clinical PLLC's NPPES record is Arvind Mahadevan, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trident Clinical PLLC's NPI active?
- Yes — Trident Clinical PLLC's NPI (1902204191) is active in the NPPES registry as of the last update on 2016-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.