BETHEL HILLS CLINIC PLLC – Multi-Specialty Clinic/Center, NPI 1578104154
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BETHEL HILLS CLINIC PLLC
1810 E Sahara Ave Ste 100
Las Vegas, NV 891043707
Phone: (702) 530-4531
Fax: (702) 660-7123
Type: Location
4446 E Des Moines
Mesa, AZ 852058520
Phone: (832) 542-3181
Type: Location
400 Union Ave SE Ste 200
Olympia, WA 985012060
Phone: (360) 394-6039
Fax: (360) 394-6039
Type: Location
650 NE Holladay St Ste 1600
Portland, OR 972322035
Phone: (503) 766-6537
Fax: (503) 766-6537
Type: Location
PO BOX 2251
SCOTTSDALE, AZ 852522251
Phone:
Type: Mailing
South 46th Place, Phoenix, Maricopa County, Arizona, 85044, United States
PHOENIX, AZ 850447805
Phone: (832) 542-3181
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: 2022-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (12 days ago).
Enrollment records
3
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200316002710 | O | Clinic/Group Practice | AZ | 2026-05-31 |
| O20220311002312 | O | Clinic/Group Practice | OR | TBD |
| O20220406001864 | O | Clinic/Group Practice | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 89104)
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