INNOVATIVE DIABETIC CENTER, LLC
INNOVATIVE DIABETIC CENTER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1235997602, based in Scottsdale, AZ. The organization lists 12 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 10210 N 92ND ST STE 104, Scottsdale, AZ 85258. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5496194938
- Enrollment ID
- O20240417002315
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 12 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | primary |
| 133VN1006X | Metabolic Nutrition Registered Dietitian Nutrition, Metabolic | — | — | |
| 133N00000X | Nutritionist | — | — | |
| 164W00000X | Licensed Practical Nurse | — | — | |
| 261QI0500X | Infusion Therapy Clinic/Center Infusion Therapy | — | — | |
| 163WI0500X | Infusion Therapy Registered Nurse Infusion Therapy | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | |
| 163WD0400X | Diabetes Educator Registered Nurse Diabetes Educator | — | — | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | — | — | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1235997602 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 11, 2024 |
| Last updated | Dec 31, 2025 |
| Status | Active |
| Practice address |
10210 N 92ND ST STE 104 Scottsdale, AZ 85258 (480) 493-0900 Fax (833) 228-0846 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 3 | 5 | 9 | 9 | 7 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 6 | 5 | 9 | 9 | 5 | 6 | 0 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.