Abrazo Medical Group - Medicare Primary Care in Goodyear, AZ

Abrazo Medical Group is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Goodyear, Arizona. The current practice location for Abrazo Medical Group is 1325 N Litchfield Rd Ste 125, Goodyear, Arizona. For appointments, you can reach them via phone at (623) 242-1231. The mailing address for Abrazo Medical Group is Po Box 18892, Belfast, Maine and phone number is (888) 402-7256.

Abrazo Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912979964. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (623) 242-1231.

Contact Information

Abrazo Medical Group
1325 N Litchfield Rd Ste 125
Goodyear
AZ 85395-1215
(623) 242-1231
(623) 242-1232

Map and Direction


Primary Care Clinic Profile

Full NameAbrazo Medical Group
SpecialityClinic/Center
Location1325 N Litchfield Rd Ste 125, Goodyear, Arizona
Authorized Official Name and PositionBrian Rasmus (VP, CFO TPR)
Authorized Official Contact4698932532
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Abrazo Medical Group
Po Box 18892
Belfast
ME 04915-4083

Ph: (888) 402-7256
Abrazo Medical Group
1325 N Litchfield Rd Ste 125
Goodyear
AZ 85395-1215

Ph: (623) 242-1231

NPI Details:

NPI Number1912979964
Provider Enumeration Date02/03/2006
Last Update Date09/23/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4486566726
Medicare Enrollment IDO20031104000523

Medical Identifiers

Medical identifiers for Abrazo Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912979964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Abrazo Medical Group acts as a billing entity for following providers:
Provider NameJeffrey A Copoloff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164461802
PECOS PAC ID: 2163335365
Enrollment ID: I20031112000281
Provider NameJason J Cool
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700886512
PECOS PAC ID: 6305747338
Enrollment ID: I20040114000256
Provider NameBilly J Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114942422
PECOS PAC ID: 7911809140
Enrollment ID: I20040217000861
Provider NamePeter C Maki
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1306886775
PECOS PAC ID: 6608780523
Enrollment ID: I20040301001128
Provider NameCharles Matlin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023074945
PECOS PAC ID: 3173413564
Enrollment ID: I20040318001041
Provider NameMadhavagopal V Cherukuri
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1104860337
PECOS PAC ID: 1254324577
Enrollment ID: I20040405000374
Provider NameJoseph J Hessel
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1306996228
PECOS PAC ID: 3173518974
Enrollment ID: I20040420000586
Provider NameSusan Pansing
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1306816533
PECOS PAC ID: 6901892017
Enrollment ID: I20040423000460
Provider NameJohn M Morgan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1407890353
PECOS PAC ID: 5799699617
Enrollment ID: I20040512001042
Provider NameVicente Diaz-gonzalez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790745776
PECOS PAC ID: 1557353356
Enrollment ID: I20040513001258
Provider NameAmarnauth Singh
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1639170764
PECOS PAC ID: 1052301728
Enrollment ID: I20040514000483
Provider NameChia How H Liu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851382899
PECOS PAC ID: 7911997101
Enrollment ID: I20040518000861
Provider NameCharles S Peterson
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1952302143
PECOS PAC ID: 2769473529
Enrollment ID: I20040520000546
Provider NameGary L Waslewski
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902890031
PECOS PAC ID: 8325023211
Enrollment ID: I20040623001299
Provider NameLinda M Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396709192
PECOS PAC ID: 8426960709
Enrollment ID: I20040701000236
Provider NameChristine A Harter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639133903
PECOS PAC ID: 8729065289
Enrollment ID: I20040701001350
Provider NameRussell G Cohen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700887460
PECOS PAC ID: 3173501418
Enrollment ID: I20040712001459
Provider NameTimothy J Byrne
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1376585232
PECOS PAC ID: 9436063351
Enrollment ID: I20040713000111
Provider NameWilliam A Arnold
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720042591
PECOS PAC ID: 1850363789
Enrollment ID: I20040810001441
Provider NameDouglas B Mangan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831181999
PECOS PAC ID: 3274592753
Enrollment ID: I20041012000751
Provider NameAlex Westerband
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1295849099
PECOS PAC ID: 1456316876
Enrollment ID: I20041124000908
Provider NameAkil Loli
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1962453803
PECOS PAC ID: 0749247872
Enrollment ID: I20041210000147
Provider NameKrishnaswami Vijayaraghavan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376598151
PECOS PAC ID: 3971560343
Enrollment ID: I20041216001031
Provider NameDouglas B Freedberg
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497751283
PECOS PAC ID: 1951350925
Enrollment ID: I20050120000079
Provider NameJohn Vanderhoof
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558471052
PECOS PAC ID: 5193774719
Enrollment ID: I20050120000558
Provider NameDavid C Zeman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902854276
PECOS PAC ID: 7911959622
Enrollment ID: I20050215000259
Provider NameRenzo M Cataldo
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1174526677
PECOS PAC ID: 6406894765
Enrollment ID: I20050419000255
Provider NameMarwan M Bahu
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1114920618
PECOS PAC ID: 0345288619
Enrollment ID: I20050419000337
Provider NameWarren Mark Breisblatt
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1063413177
PECOS PAC ID: 6709826142
Enrollment ID: I20050505000386
Provider NameMichael R Keller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821062183
PECOS PAC ID: 1658320999
Enrollment ID: I20050512000577
Provider NameBrent P Hansen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1396716262
PECOS PAC ID: 8820061567
Enrollment ID: I20050613000936
Provider NameMerick S Kirshner
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1831183870
PECOS PAC ID: 8729011713
Enrollment ID: I20050912000101
Provider NameMatthew P Wilson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1225018096
PECOS PAC ID: 3870527641
Enrollment ID: I20050921000461
Provider NameAyman Jamal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1083600845
PECOS PAC ID: 9436114915
Enrollment ID: I20050927000129
Provider NameBarbara L Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184618530
PECOS PAC ID: 6507891546
Enrollment ID: I20050928001273
Provider NameShani S Saks
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023001682
PECOS PAC ID: 5698790541
Enrollment ID: I20051010000644
Provider NamePeter W Mitchell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881686749
PECOS PAC ID: 8022094481
Enrollment ID: I20051103000952
Provider NameTimothy E Rider
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215998364
PECOS PAC ID: 4688693534
Enrollment ID: I20051121000380
Provider NameTanya B Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528002441
PECOS PAC ID: 4385668078
Enrollment ID: I20060120000511
Provider NameMatthew C Duke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992779250
PECOS PAC ID: 1557378288
Enrollment ID: I20060321000287
Provider NameLance Richard Winter
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1386693976
PECOS PAC ID: 9133154651
Enrollment ID: I20060728000260
Provider NameAngela M Sturdivant
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689622086
PECOS PAC ID: 1355231788
Enrollment ID: I20060809000452
Provider NameSanjay Ramakumar
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1437255742
PECOS PAC ID: 3476555772
Enrollment ID: I20070214000380
Provider NameLinda N Greer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346297991
PECOS PAC ID: 3577665744
Enrollment ID: I20070220000141
Provider NameAye Thandar Win
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245251941
PECOS PAC ID: 3173596772
Enrollment ID: I20070306000517
Provider NameVafa Ghaemmaghami
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1659352144
PECOS PAC ID: 7416970504
Enrollment ID: I20070626000827
Provider NameTod M Sugihara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962615856
PECOS PAC ID: 4284725268
Enrollment ID: I20070806000205
Provider NameNeal A Klein
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1639111743
PECOS PAC ID: 4880508704
Enrollment ID: I20070910000556
Provider NameSeth D Oesch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427030188
PECOS PAC ID: 1759471865
Enrollment ID: I20071213000129
Provider NameSameera T Raza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396851044
PECOS PAC ID: 7719988419
Enrollment ID: I20080129000415
Provider NameJames P Corrigan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538157680
PECOS PAC ID: 2567548092
Enrollment ID: I20080325000316
Provider NameAllison M Peckumn
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1023230778
PECOS PAC ID: 0244306231
Enrollment ID: I20080827000175
Provider NameDaniel T Fang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1033170634
PECOS PAC ID: 5092873927
Enrollment ID: I20081022000334
Provider NameMark S Bessette
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265426407
PECOS PAC ID: 0446356992
Enrollment ID: I20090316000038
Provider NameEdward G Ghattas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164412466
PECOS PAC ID: 9436209798
Enrollment ID: I20090608000144
Provider NameRobert L Bierman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124023205
PECOS PAC ID: 0840341558
Enrollment ID: I20090619000114
Provider NameWilliam Michael Jaffe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1083648158
PECOS PAC ID: 6204883721
Enrollment ID: I20090812000473
Provider NameColette A Toronto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669474243
PECOS PAC ID: 4183776032
Enrollment ID: I20090825000213
Provider NameTiffany A Nunnelley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386805034
PECOS PAC ID: 0345395471
Enrollment ID: I20090826000081
Provider NameLorraine M Homes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255375481
PECOS PAC ID: 3476699885
Enrollment ID: I20091014000799
Provider NameDestin Edward Hill
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1609073865
PECOS PAC ID: 7113064528
Enrollment ID: I20091016000236
Provider NameJose Ivan A Rago
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477714137
PECOS PAC ID: 0244379774
Enrollment ID: I20091123000418
Provider NameCarmen R Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740513316
PECOS PAC ID: 5597804971
Enrollment ID: I20091124000253
Provider NameJennifer L Willis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275731424
PECOS PAC ID: 5193864221
Enrollment ID: I20091203000393
Provider NameJody A Eckhardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871650564
PECOS PAC ID: 7012919723
Enrollment ID: I20091215000035
Provider NameIan M Frankfort
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295790293
PECOS PAC ID: 5294712527
Enrollment ID: I20100205000136
Provider NameKristin V Franco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932399870
PECOS PAC ID: 9537295035
Enrollment ID: I20100408000279
Provider NameGeorge Paik
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1740266550
PECOS PAC ID: 8729102082
Enrollment ID: I20100824000729
Provider NameAmon T Ferry
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669639613
PECOS PAC ID: 5395899389
Enrollment ID: I20100830001043
Provider NameMaressa M Alejandro-reyes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750328969
PECOS PAC ID: 6002881935
Enrollment ID: I20110112000619
Provider NameKelly R Grogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881752038
PECOS PAC ID: 8123207545
Enrollment ID: I20110131000925
Provider NameKaterina S Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376837989
PECOS PAC ID: 4688844871
Enrollment ID: I20110825000472
Provider NameSasi K Ghanta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114219789
PECOS PAC ID: 7416128061
Enrollment ID: I20110913000004
Provider NameShruti Badhwar
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497918502
PECOS PAC ID: 0244406593
Enrollment ID: I20120109000238
Provider NameNeeta A Patil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871800581
PECOS PAC ID: 8729262894
Enrollment ID: I20120803000748
Provider NameChristina M Khoury
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1609086081
PECOS PAC ID: 7719157411
Enrollment ID: I20120820001119
Provider NameBasel Channis
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1982834594
PECOS PAC ID: 0345490736
Enrollment ID: I20121019000513
Provider NameMichelle M Mix
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1831385533
PECOS PAC ID: 9335215722
Enrollment ID: I20130417000684
Provider NameEmun Abdu
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1811199912
PECOS PAC ID: 4385815166
Enrollment ID: I20130425000227
Provider NameAmy Purvis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467708156
PECOS PAC ID: 5496992281
Enrollment ID: I20130515000434
Provider NameOday R.s. Al Rabadi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1972779643
PECOS PAC ID: 8325288277
Enrollment ID: I20130717000511
Provider NameRenee M Gazda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558591644
PECOS PAC ID: 9335382167
Enrollment ID: I20130827000530
Provider NameKatherine D Duncan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366762650
PECOS PAC ID: 2365685088
Enrollment ID: I20130828000760
Provider NameTimothy M Bert
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1346465010
PECOS PAC ID: 4385888791
Enrollment ID: I20130924000745
Provider NameDinraj B Hegde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184612178
PECOS PAC ID: 0941240964
Enrollment ID: I20131022002343
Provider NameSharon S Sadeghinia
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770608275
PECOS PAC ID: 7113974916
Enrollment ID: I20131216001480
Provider NameMichael J Sumko
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992937189
PECOS PAC ID: 6507098845
Enrollment ID: I20140804002160
Provider NameGeorge Tharwat Gendy
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1821275231
PECOS PAC ID: 4688839129
Enrollment ID: I20140808001089
Provider NameJacob T Woods
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235424680
PECOS PAC ID: 1052538352
Enrollment ID: I20140811001112
Provider NameKristen L Hudson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407279748
PECOS PAC ID: 4880812346
Enrollment ID: I20140825001138
Provider NameSamyuktha Sreenivasan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548526171
PECOS PAC ID: 4284947730
Enrollment ID: I20150713003183
Provider NameKenneth A Hood
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861783060
PECOS PAC ID: 4183843923
Enrollment ID: I20150728004816
Provider NameAmanda Christie Rapp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104192525
PECOS PAC ID: 2163739137
Enrollment ID: I20150923003182
Provider NameKarthik Raghavan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164699906
PECOS PAC ID: 9739204371
Enrollment ID: I20151005001865
Provider NameJenny Ho
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427315506
PECOS PAC ID: 8022327121
Enrollment ID: I20151012000590
Provider NameGregory M Kohler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912383522
PECOS PAC ID: 2668772468
Enrollment ID: I20151203003278
Provider NameSaifuldeen A Al Qaisi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1053673723
PECOS PAC ID: 0042516684
Enrollment ID: I20160308002812
Provider NameKacey Lohmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962861930
PECOS PAC ID: 2668761503
Enrollment ID: I20160517001808
Provider NameMichelle Gustafson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497126874
PECOS PAC ID: 9739470287
Enrollment ID: I20160614001283
Provider NameBasil Al Khatib
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1083977599
PECOS PAC ID: 3476845082
Enrollment ID: I20160629003119
Provider NameTushar Gohel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568699304
PECOS PAC ID: 7911163571
Enrollment ID: I20160630000517
Provider NameTracy L Von Aspen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447605639
PECOS PAC ID: 0547553000
Enrollment ID: I20160721002188
Provider NameGina Marie Mathew
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1366731358
PECOS PAC ID: 5698085660
Enrollment ID: I20160812001431
Provider NameArchana Nagarajan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881906733
PECOS PAC ID: 0749415818
Enrollment ID: I20160907002194
Provider NameMohammad Monjurul Alam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356574016
PECOS PAC ID: 1355592304
Enrollment ID: I20160928001100
Provider NameVinay Kapadia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598212003
PECOS PAC ID: 0143509554
Enrollment ID: I20161107002498
Provider NameRyan A Pinnell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174818173
PECOS PAC ID: 4082994363
Enrollment ID: I20161201002087
Provider NameCarly Anne Ernst
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891112900
PECOS PAC ID: 5294030474
Enrollment ID: I20170725001581
Provider NameNicholas Xavier Jebaily
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1710206909
PECOS PAC ID: 5799919015
Enrollment ID: I20170725003470
Provider NameMaria Viadimir Gibson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649388596
PECOS PAC ID: 2860428489
Enrollment ID: I20170807003307
Provider NameHeatherann Alison Bal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518379031
PECOS PAC ID: 1254621659
Enrollment ID: I20170815000635
Provider NameDavid E Virgil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598175747
PECOS PAC ID: 8820360449
Enrollment ID: I20170816004229
Provider NameMelissa S Molyneux
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053722686
PECOS PAC ID: 7012281637
Enrollment ID: I20170920003880
Provider NameNickalaus L Gramze
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487972964
PECOS PAC ID: 0749459410
Enrollment ID: I20170927004188
Provider NameDawn Michelle Maxwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487163218
PECOS PAC ID: 0143114462
Enrollment ID: I20171023002529
Provider NameMarium Muzaffar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1306191242
PECOS PAC ID: 4385947902
Enrollment ID: I20171128003220
Provider NameJenna L Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275048357
PECOS PAC ID: 4385906007
Enrollment ID: I20180316001383
Provider NameLeslee Hamadeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144728130
PECOS PAC ID: 3678835782
Enrollment ID: I20180328003071
Provider NameRoberto Calderon
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568649812
PECOS PAC ID: 7911030267
Enrollment ID: I20180412002000
Provider NameMerima Bucaj
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417245267
PECOS PAC ID: 4385896000
Enrollment ID: I20180417000728
Provider NameJai S Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407892268
PECOS PAC ID: 2163495953
Enrollment ID: I20180515001767
Provider NameLeonid Vydro
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1902148380
PECOS PAC ID: 7911299987
Enrollment ID: I20180521003232
Provider NameJoshua Scott Silver
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1790044204
PECOS PAC ID: 3476809336
Enrollment ID: I20180706001411
Provider NameCarley Campton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457844482
PECOS PAC ID: 8426306994
Enrollment ID: I20180731004169
Provider NameAmmar M Alobaidy
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1437592102
PECOS PAC ID: 1658629597
Enrollment ID: I20180808003204
Provider NameSavio C Reddymasu
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598981979
PECOS PAC ID: 4183724248
Enrollment ID: I20181002000099
Provider NameMisty Lynn Pagan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184119844
PECOS PAC ID: 4385996321
Enrollment ID: I20181002003611
Provider NameRishi Kirit Patel
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1972794659
PECOS PAC ID: 8729148358
Enrollment ID: I20190104001864
Provider NameGary Gross
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1760434252
PECOS PAC ID: 2860594330
Enrollment ID: I20190208000418
Provider NameJacob Tuttle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023370053
PECOS PAC ID: 1759529704
Enrollment ID: I20190327001275
Provider NameSushant Punjaram Kale
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1780809798
PECOS PAC ID: 1456490077
Enrollment ID: I20190521001296
Provider NameLige Kaplan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780894949
PECOS PAC ID: 5294809802
Enrollment ID: I20190529001282
Provider NameAngela Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689130007
PECOS PAC ID: 3678806916
Enrollment ID: I20190531000973
Provider NameJoshua L Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386106391
PECOS PAC ID: 4486989167
Enrollment ID: I20190717003064
Provider NameTina Marie Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700341831
PECOS PAC ID: 9830426618
Enrollment ID: I20190816001854
Provider NameWaheeda S Ahmed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962949354
PECOS PAC ID: 3375871205
Enrollment ID: I20190829003161
Provider NameTim Michael Ratliff
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1306227780
PECOS PAC ID: 4486966017
Enrollment ID: I20191001002876
Provider NameAlec Pramhus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225481740
PECOS PAC ID: 1557656204
Enrollment ID: I20191001003263
Provider NameDiana Thayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063975076
PECOS PAC ID: 5092045294
Enrollment ID: I20191002001028
Provider NameMollanda Laura Mazzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801440904
PECOS PAC ID: 1052642840
Enrollment ID: I20191009000742
Provider NameLindsay Fritch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184026031
PECOS PAC ID: 0547550469
Enrollment ID: I20191022003955
Provider NameJayme L Hawthorne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619489911
PECOS PAC ID: 5294168951
Enrollment ID: I20191210003290
Provider NameDivyashree Varma
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1710205000
PECOS PAC ID: 1456673565
Enrollment ID: I20191216001162
Provider NameJoseph Jenneford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740847615
PECOS PAC ID: 2961836234
Enrollment ID: I20191218002941
Provider NameStephanie Sheree Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790334233
PECOS PAC ID: 3072940899
Enrollment ID: I20200217001484
Provider NameCarl B Bryce
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619315074
PECOS PAC ID: 4183867633
Enrollment ID: I20200408000345
Provider NameAnubhav Jagadish
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932365251
PECOS PAC ID: 3476796616
Enrollment ID: I20200511001849
Provider NameShelly Bansal
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1174793111
PECOS PAC ID: 4688801806
Enrollment ID: I20200526001717
Provider NameSamuel Kim
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1215917091
PECOS PAC ID: 1759317720
Enrollment ID: I20200602002929
Provider NameBenjamin Albert
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235494741
PECOS PAC ID: 9830415512
Enrollment ID: I20200804002065
Provider NameBrent Rich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982614319
PECOS PAC ID: 7911991450
Enrollment ID: I20200804002115
Provider NameTheron M Liddell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1528515939
PECOS PAC ID: 2668744673
Enrollment ID: I20200921001545
Provider NameAllyson Mclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679964662
PECOS PAC ID: 5092032656
Enrollment ID: I20201013000362
Provider NameLakshmi Kocherlakota
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386171320
PECOS PAC ID: 2062752165
Enrollment ID: I20201026000825
Provider NameDeanna Kraemer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972100097
PECOS PAC ID: 7618387820
Enrollment ID: I20201029000345
Provider NameDesiree Little
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326678319
PECOS PAC ID: 0446663181
Enrollment ID: I20210119001806
Provider NamePatricia Bonasera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790378230
PECOS PAC ID: 1951719160
Enrollment ID: I20210427002459
Provider NameDemetrios Mavroidis
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1184602914
PECOS PAC ID: 5092740548
Enrollment ID: I20210701001817
Provider NameUgonna Ezeh
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629423223
PECOS PAC ID: 3476957226
Enrollment ID: I20210802002077
Provider NameRichard Dung Pham
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1124439377
PECOS PAC ID: 7719381987
Enrollment ID: I20210810002458
Provider NameJaharris Ahmed Collier
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679928436
PECOS PAC ID: 6800180589
Enrollment ID: I20210825002796
Provider NameShashank Jain
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1588824007
PECOS PAC ID: 2264604685
Enrollment ID: I20210826002528
Provider NameSunshine Marie Borawski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831761444
PECOS PAC ID: 2466858402
Enrollment ID: I20210831001210
Provider NameSubhash Chandra
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1174817720
PECOS PAC ID: 4183874894
Enrollment ID: I20210831002187
Provider NameRico Andrew Segun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760055099
PECOS PAC ID: 8628474186
Enrollment ID: I20210908002484
Provider NameNeil Vyas
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447678917
PECOS PAC ID: 1951709799
Enrollment ID: I20211008002559
Provider NameSherry Caforio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609363159
PECOS PAC ID: 1557759925
Enrollment ID: I20211104001100
Provider NameJacob Pfetsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639756356
PECOS PAC ID: 1850782095
Enrollment ID: I20211227000520
Provider NameBrian Vernon
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265639280
PECOS PAC ID: 8022267210
Enrollment ID: I20211228000378
Provider NameStacey Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831637529
PECOS PAC ID: 2163706565
Enrollment ID: I20220304001952
Provider NameLoui Rejjal
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1073931846
PECOS PAC ID: 7214156546
Enrollment ID: I20220728000546
Provider NameCameron Teutschel Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619427523
PECOS PAC ID: 5698024115
Enrollment ID: I20220805002836
Provider NameAlexander Carey Wendling
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114456597
PECOS PAC ID: 0941571004
Enrollment ID: I20220816000747
Provider NameAkram Ibrahim
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1508029802
PECOS PAC ID: 7214229152
Enrollment ID: I20220817002449
Provider NameKelly Nathan Shortridge
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558728196
PECOS PAC ID: 6800291196
Enrollment ID: I20220830002113
Provider NameThomas Russell Hunt
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831149665
PECOS PAC ID: 7517919731
Enrollment ID: I20220830004504
Provider NameBrooke Elise Gambino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619631587
PECOS PAC ID: 8224413398
Enrollment ID: I20220912000176
Provider NameJordan Lee Liles
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1952764219
PECOS PAC ID: 1456736289
Enrollment ID: I20220915000923
Provider NameCarmela Marfori Fernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013633643
PECOS PAC ID: 2961870613
Enrollment ID: I20221130001666
Provider NameMaricel Olan-cabrera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659617850
PECOS PAC ID: 2163653007
Enrollment ID: I20230316001701
Provider NameSydney Gear
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457051666
PECOS PAC ID: 3072988054
Enrollment ID: I20230404002357
Provider NameRhett Macneille
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629574009
PECOS PAC ID: 6608233127
Enrollment ID: I20230526001969
Provider NameSami Rafael Kaldawi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1598260457
PECOS PAC ID: 9931566387
Enrollment ID: I20230531001116
Provider NameVenita Simpson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1568756328
PECOS PAC ID: 7517296429
Enrollment ID: I20230601002469
Provider NameHao Pan
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1184986838
PECOS PAC ID: 0648524207
Enrollment ID: I20230621001259
Provider NameAmilyn Taplin
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1295027472
PECOS PAC ID: 0648539130
Enrollment ID: I20230629000584
Provider NameBrendan Koistinen
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1457812422
PECOS PAC ID: 4789913070
Enrollment ID: I20230718004299
Provider NameEduardo Salazar
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1689105546
PECOS PAC ID: 9638531296
Enrollment ID: I20230814001717
Provider NameDavid M Prutzman
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1477993152
PECOS PAC ID: 6406139716
Enrollment ID: I20230829004440
Provider NameGagan Kaur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265886816
PECOS PAC ID: 1254786510
Enrollment ID: I20231006002348
Provider NameHector Rafael Vazquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366122525
PECOS PAC ID: 0042666455
Enrollment ID: I20231020002241

Reviews and Comments


Clinic/Center in Goodyear, AZ

Rabadi Physicians Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 13575 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-536-9911    
My Dr Now
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 831 S Cotton Ln Ste F7-8, Goodyear, AZ 85338
Phone: 480-677-8282    
Super Cool Kids Therapy, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14175 W Indian School Rd, Suite B4-521, Goodyear, AZ 85395
Phone: 623-262-1199    
Valley Direct Primary Care, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13970 W Woodbridge Ave, Goodyear, AZ 85395
Phone: 646-352-2619    
Midc, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395
Phone: 623-328-7794    Fax: 623-328-7932
Estrella Gastroenterology Group
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13657 W Mcdowell Rd Ste 204, Goodyear, AZ 85338
Phone: 623-935-4056    Fax: 623-935-2018
Nexx Level Healthcare
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 15664 W Devonshire Ave, Goodyear, AZ 85395
Phone: 623-204-4093    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.