Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Gabrielle Grodman

Individual provider Physician Assistant · NPI 1265299507

Heidi Gabrielle Grodman is a Physician Assistant in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2024

Practice location Address checks out

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone: (480) 412-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11523 (AZ)

Record details

NPI number1265299507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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