DIANNA LYNN MAHONEY (MD) – Family Medicine Physician, NPI 1649372004

DIANNA LYNN MAHONEY (MD) is a healthcare provider. based in Whiteriver, Arizona. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 27347 (AZ). The NPI Number for DIANNA LYNN MAHONEY (MD) is 1649372004

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DIANNA LYNN MAHONEY (MD)
NPI
1649372004
Phone
(928) 338-4911
Address
PO BOX 860
Enumeration Date
5 September 2006
Last Update Date
28 December 2008

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
92833849113532
Graduation Year
1997 (29 years ago)
PAC ID
4486828050
Group Practice PAC ID
2668649567
Professional Enrollment ID
I20111116000418
Address ID
AZ859410860WH200XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

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Provider Addresses for DIANNA LYNN MAHONEY (MD)

  • PO BOX 860

    WHITERIVER, AZ 859410860

    Phone: (928) 338-4911

    Fax: (928) 338-3522

    Type: Mailing

  • Whiteriver Indian Hospital, 200, West Hospital Drive, Whiteriver, Navajo County, Arizona, 85941, United States

    WHITERIVER, AZ 859410860

    Phone: (928) 338-4911

    Fax: (928) 338-3522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111116000418IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85941)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668649567View full group profile

Reviews

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Frequently asked questions

Does DIANNA LYNN MAHONEY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DIANNA LYNN MAHONEY (MD) uses 1649372004.
Does CMS list DIANNA LYNN MAHONEY (MD) as active?
Yes — DIANNA LYNN MAHONEY (MD) is active in the NPI listing used on this page.
What healthcare role does DIANNA LYNN MAHONEY (MD) hold?
Scheduling teams often label DIANNA LYNN MAHONEY (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DIANNA LYNN MAHONEY (MD)?
DIANNA LYNN MAHONEY (MD)'s geographic hint is Whiteriver, Arizona in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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