Rd Medical PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RD MEDICAL PLLC

Practice address

5310 W Thunderbird Rd Ste 202
Glendale, AZ 85306-4712

Phone

(623) 688-2643

Fax

(623) 432-7006

NPI assigned

Nov 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Malar Kuppan, DNP, AGACNP,PMHNPNPI 1295216190

Title

Owner/Provider

Phone

(623) 261-5258

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malar Kuppan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1295216190

  Acute Care

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1023834595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 W BANFF LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063045",
            "telephone_number": "623-261-5258",
            "fax_number": "623-432-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD STE 202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064712",
            "telephone_number": "623-688-2643",
            "fax_number": "623-432-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "KUPPAN",
        "authorized_official_first_name": "MALAR",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-261-5258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, AGACNP,PMHNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Curran Raymond, MT-BC
• Joseph Frank Raynak, MD
• Nataly Rayon
• RBKS, LLC
• Rd Integrated Health PLLC
• Rd Psyche PLLC
• Realize Our Worth LLC
• Marc Ream, PHARMD
• Jennifer Reams, SLP
• Jamie Reaney, RN

• Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.