Privia Medical Group Arizona, LLC
A Medicare group practice based in Phoenix, AZ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1052328408), with 110 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052328408
- Provider type
- DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ
- Enrollments
- 2
- Group size
- 94 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 25
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060309000742 | AZ | Part B Supplier - Clinic/Group Practice | 1760441141 |
| O20200220002978 | AZ | DME Supplier - Multi-Specialty - Physician | 1245876705 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Privia Medical Group Arizona, LLC
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
Privia Medical Group Arizona, LLC
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
-
Privia Medical Group Arizona, LLC
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
Practice locations
- Phoenix, AZ9
- Goodyear, AZ2
- Avondale, AZ2
- Glendale, AZ2
- Mesa, AZ2
- Surprise, AZ1
- Sun City, AZ1
- Quartzsite, AZ1
- Buckeye, AZ1
- Payson, AZ1
- Peoria, AZ1
- Prescott, AZ1
- Tempe, AZ1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 85.16 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.38
Clinicians 110
Clinicians who reassign their Medicare benefits to this group (109) or whom Care Compare lists as members (94).
-
Daniel Nathan Abelev, MD
- Family Medicine Physician
- Phoenix, AZ
- NPI 1417573163
-
Islam Mustafa Abujubara, MD
- Neurology Physician
- Phoenix, AZ
- NPI 1265626774
-
Lisette Amezcua, FNP
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1962266858
-
Cathy Balzano, FNP
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1962905612
-
Lory Ellen Baraz, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Phoenix, AZ
- NPI 1790780393
-
David H Beck, P.A.C.
- Medical Physician Assistant
- Glendale, AZ
- NPI 1679646350
-
Pallavi Bellamkonda, M.D.
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1871718486
-
Rachael Bennett, FNP-C
- Nurse Practitioner
- Phoenix, AZ
- NPI 1134764590
-
Krishdeep Chadha, MD
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1619147915
-
David Joseph Chadwick I, D.O.
- Family Medicine Physician
- Phoenix, AZ
- NPI 1164956041
-
Bryan R Chavez Garcia, PA-C
- Physician Assistant
- Surprise, AZ
- NPI 1942762000
-
Eric Clayton Christensen, M.D.
- Internal Medicine Physician
- Prescott, AZ
- NPI 1134577810
-
Rachael Lynn Daley, MSN
- Adult Health Nurse Practitioner
- Avondale, AZ
- NPI 1558577320
-
Kristina Deveau, NP-C
- Nurse Practitioner
- Goodyear, AZ
- NPI 1528511482
-
Trinh Doan, MD
- Internal Medicine Physician
- Sun City, AZ
- NPI 1518966878
-
Edward Dopkowski
- Physician Assistant
- Avondale, AZ
- NPI 1841018520
-
Michael Scott Drury, M.D.
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1568462893
-
Gerald Wayne Dunn III, FNP-C
- Primary Care Nurse Practitioner
- Goodyear, AZ
- NPI 1407543481
-
Carlos Roman Echevarria, MD, MMM
- Phlebology Physician
- Tempe, AZ
- NPI 1538425558
-
Marc Lewis Eckhauser, M.D.
- Vascular Surgery Physician
- Surprise, AZ
- NPI 1811997513
-
Megan Elizabeth Erbes, FNP
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1558933432
-
Billy Joe Evans, M.D.
- Family Medicine Physician
- Glendale, AZ
- NPI 1114942422
-
Celia Kay Fakhouri, PA-C
- Physician Assistant
- Prescott, AZ
- NPI 1255768073
-
Ana Maria Fuentes, ACNP
- Nurse Practitioner
- Goodyear, AZ
- NPI 1053056523
-
Renae Furar, APRN
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1093273682
-
Bradford C Gelzayd, M.D.
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1306826086
-
Clarrissa Gober, NP
- Nurse Practitioner
- Avondale, AZ
- NPI 1881015162
-
Rosa M Gomez, FNP-C
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1891573176
-
Morgan Gonzalez, FNP-C
- Family Nurse Practitioner
- Payson, AZ
- NPI 1770274847
-
Rosemarie Danielle Gotshall, MD
- Family Medicine Physician
- Sacaton, AZ
- NPI 1831149509
-
Chelsea Greenwood, FNP
- Primary Care Nurse Practitioner
- Phoenix, AZ
- NPI 1740063890
-
Jennifer Hawkins, APRN-RNP
- Nurse Practitioner
- Gilbert, AZ
- NPI 1942049572
-
Abimbola Datonye Iketubosin, FNP
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1356841514
-
Catherine Jackey, FNP
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1598286155
-
Shanna Patricia Johnson
- Acute Care Nurse Practitioner
- Scottsdale, AZ
- NPI 1942954367
-
Michael Randall Keller, MD
- Family Medicine Physician
- Glendale, AZ
- NPI 1821062183
-
Ronald W Kennett, D.O.
- Internal Medicine Physician
- Goodyear, AZ
- NPI 1154318996
-
Muhammad Zain Khan Khakwani, MD
- Interventional Cardiology Physician
- Avondale, AZ
- NPI 1710353123
-
Shishir Kumar Khetan, MD
- Internal Medicine Physician
- Rockville, MD
- NPI 1861497372
-
Tanisha Kindred, FNP-C, APRN
- Family Medicine Physician
- Goodyear, AZ
- NPI 1255003174
-
Patrick Lam, DO
- Gastroenterology Physician
- Goodyear, AZ
- NPI 1326095613
-
Kia Lambeth
- Nurse Practitioner
- Avondale, AZ
- NPI 1033622295
-
Mark Ralph Lonquist, MD
- Family Medicine Physician
- Goodyear, AZ
- NPI 1629064613
-
Jessica Lucente, PA-C
- Medical Physician Assistant
- Sun City, AZ
- NPI 1356441406
-
Joshua David Lyon, PA-C
- Physician Assistant
- Show Low, AZ
- NPI 1992996060
-
Adnan Mahmood, DO
- Neurology Physician
- Avondale, AZ
- NPI 1528293149
-
Cynthia Martinez, FNP-C
- Nurse Practitioner
- Avondale, AZ
- NPI 1538846159
-
Wade J McBride, P.A.
- Medical Physician Assistant
- Tucson, AZ
- NPI 1164495917
-
Marie McCormick, ANP
- Nurse Practitioner
- Phoenix, AZ
- NPI 1376517631
-
Tushar Menon, MD
- Family Medicine Physician
- Goodyear, AZ
- NPI 1689293862
-
Amy Meoli, MD
- Sleep Medicine (Internal Medicine) Physician
- Palm Desert, CA
- NPI 1447209218
-
Christopher Morris, DO
- Family Medicine Physician
- Surprise, AZ
- NPI 1417446618
-
Lorne William Murray, MD
- Cardiovascular Disease Physician
- Avondale, AZ
- NPI 1609857705
-
Koushik Nag, DO
- Interventional Cardiology Physician
- Avondale, AZ
- NPI 1699892059
-
Hursh Naik, MD
- Interventional Cardiology Physician
- Avondale, AZ
- NPI 1124139423
-
Ian Newport, DPM
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
- NPI 1891227294
-
Logan Nicholas Nocerino, PA-C
- Physician Assistant
- Tucson, AZ
- NPI 1851763619
-
Nicolette Paige Owens, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1346914512
-
Kandarp R Patel, DO
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1801086087
-
Satya D Patel, M.D.
- Family Medicine Physician
- Sun City, AZ
- NPI 1952571341
-
Arun S. Patil, M.D.
- Cardiovascular Disease Physician
- Avondale, AZ
- NPI 1093955908
-
Annie Larissa Perdomo, ARNP
- Acute Care Nurse Practitioner
- Glendale, AZ
- NPI 1891413498
-
Craig James Philhower, FNP-C
- Family Nurse Practitioner
- Arlington, VA
- NPI 1285085076
-
Amalia D Pineres, MD
- Family Medicine Physician
- Payson, AZ
- NPI 1750449419
-
Joshua Pittman, DO
- Family Medicine Physician
- Tempe, AZ
- NPI 1316567613
-
Melissa Ponce, FNP-C
- Family Nurse Practitioner
- Glendale, AZ
- NPI 1558171504
-
Sorana Liana Pop, FNP
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1164802690
-
David Amin Quraishi, FNP-BC
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1982124574
-
Junaid I. Qureshi, M.D.
- Nephrology Physician
- Mesa, AZ
- NPI 1235186628
-
Upamanyu Rampal, M.D
- Cardiovascular Disease Physician
- Avondale, AZ
- NPI 1790195741
-
Kelly Lynn Rauch, FNP
- Family Nurse Practitioner
- Ormond Beach, FL
- NPI 1013256338
-
Tracey Lynn Redish
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1942879465
-
Tristan Rico, NP
- Nurse Practitioner
- Avondale, AZ
- NPI 1851908800
-
Tomas Rivera-Bonilla, MD
- Interventional Cardiology Physician
- Phoenix, AZ
- NPI 1881855294
-
Evelynn Petra Robles, FNP-C
- Nurse Practitioner
- Phoenix, AZ
- NPI 1467296319
-
Haley Lee Rodriguez, PA-C, CCSH
- Physician Assistant
- Glendale, AZ
- NPI 1780342147
-
Lilia Santamaria-Cano, FNP-C
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1841670528
-
Irma Leticia Santamaria, FNP-C
- Nurse Practitioner
- Glendale, AZ
- NPI 1881371557
-
Corey Alexander Senegal, PA
- Physician Assistant
- Avondale, AZ
- NPI 1841908035
-
Adhar Seth, MD
- Cardiovascular Disease Physician
- Avondale, AZ
- NPI 1164539755
-
Lisa Shaffer, APRN-RNP, A-GNP-C
- Primary Care Nurse Practitioner
- Avondale, AZ
- NPI 1487364949
-
Erica Simmons, NP
- Primary Care Nurse Practitioner
- Phoenix, AZ
- NPI 1811713399
-
Liliana Sinaloa, FNP
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1982579710
-
Kenneth R Smith, D.O.
- Family Medicine Physician
- Glendale, AZ
- NPI 1942396023
-
Amy Soloman, DO
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1982723508
-
Bethanie B. Sorensen, PA-C
- Medical Physician Assistant
- Avondale, AZ
- NPI 1396747044
-
Brandon Soule, PA-C
- Physician Assistant
- San Francisco, CA
- NPI 1689962581
-
Bonifasiyo K. Ssennyamantono, MD
- Cardiovascular Disease Physician
- Avondale, AZ
- NPI 1902813678
-
Mary Storts, AG-ACNP
- Nurse Practitioner
- Avondale, AZ
- NPI 1952958472
-
Riyaz A Sumar, MD
- Cardiovascular Disease Physician
- Avondale, AZ
- NPI 1144212721
-
Steven Rush Sumpter, DO
- Family Medicine Physician
- Avondale, AZ
- NPI 1083828610
-
Matthew D Sweeney, PA-C
- Medical Physician Assistant
- Goodyear, AZ
- NPI 1336160878
-
Iva Tirres, FNP
- Nurse Practitioner
- Phoenix, AZ
- NPI 1558972752
-
Laura A Truax, PA-C, MPAS
- Physician Assistant
- Phoenix, AZ
- NPI 1730499609
-
Mauro Tucci, M.D.
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1619156445
-
Michael Ned Tucker, PA-C
- Medical Physician Assistant
- Glendale, AZ
- NPI 1508818931
-
Navtej S. Tung, M.D.
- Pain Medicine (Anesthesiology) Physician
- Goodyear, AZ
- NPI 1992702203
-
Hiva Vakil, MD
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1356480172
-
James Edward Vandruff, DO
- Family Medicine Physician
- Payson, AZ
- NPI 1710481411
-
John Vandruff, MD
- Family Medicine Physician
- Payson, AZ
- NPI 1700885563
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.