NPIMap

Organization Active NPI

RHG of Arizona, PC

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1013744218
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RHG OF ARIZONA, PC
Practice address
10238 E Hampton Ave Ste 506
Mesa, AZ 85209-3321
Phone
(615) 672-7122
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Jane Holden
Title
Billing Manager
Phone
(615) 672-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10238 E Hampton Ave Ste 506
Mesa, AZ 85209-3321

Mailing address

40 Burton Hills Blvd Ste 370
Nashville, TN 37215-6287
Phone (615) 672-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206000112 AZ Part B Supplier - Clinic/Group Practice 9436689445 Receives reassigned benefits from 21 practitioners
Practice locations: Mesa, AZ; Queen Creek, AZ; Tempe, AZ; Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

5656 S Power Rd
Ste 126
Gilbert, AZ 85295

1855 S Stapley Dr
Mesa, AZ 85204

1492 S Mill Ave
Ste 101
Tempe, AZ 85281
Phone (480) 257-2740

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1013744218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156287",
            "telephone_number": "615-672-7122",
            "fax_number": "615-672-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 506",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093321",
            "telephone_number": "615-672-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHG OF ARIZONA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-672-7122"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.