Individual provider Active NPI

Timur Raghib, M.D.

  • Hospitalist Physician
  • Phoenix, AZ
National Provider Identifier
1003034588
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
64617 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-0777
NPI assigned
Apr 23, 2007
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 64617 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

3200 E Camelback Rd Ste 2501215E
Phoenix, AZ 85018-2311
Phone (602) 933-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090127000729 MI Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4880758341 Reassigns benefits to 2 organizations
I20211129000298 AZ Practitioner - Pediatric Medicine 4880758341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of North Dakota School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children's HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64617AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Michigan Em PC CurrentSince Oct 29, 2021 Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2020 Accepting new patients
Phoenix Children's Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Beacon Medical Group Michigan Inc Family Medicine Current Accepting new patients
Phoenix Children's Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Jul 1, 2020 Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients
Medical Observation Services, PLLC Past Accepting new patients
Phoenix Children's Hospital Past Accepting new patients

Locations

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

3200 E Camelback Rd
Ste 2501215E
Phoenix, AZ 85018

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1003034588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 2501215E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182311",
            "telephone_number": "602-933-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHIB",
        "first_name": "TIMUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "64617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.