Active NPI
Julio Joel Feliciano Sr., PA
- Medical Physician Assistant
- El Mirage, AZ
National Provider Identifier
1023871449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10154
- Practice address
- 13521 N 127TH Dr
El Mirage, AZ 85335-5347 - Phone
- (939) 209-3703
- NPI assigned
- Jan 31, 2024
- Last updated
- Feb 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10154 | AZ | Primary |
Addresses
Primary practice location
13521 N 127TH Dr
El Mirage, AZ 85335-5347
Mailing address
13521 N 127TH Dr
El Mirage, AZ 85335-5347
Phone (939) 209-3703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Consultants PLLC | Past | Accepting new patients | |
| Best Care Assisted Living | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1407309883
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- NPI 1245970938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1023871449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13521 N 127TH DR",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853355347",
"telephone_number": "939-209-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13521 N 127TH DR",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853355347",
"telephone_number": "939-209-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "JULIO",
"middle_name": "JOEL",
"name_suffix": "Sr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "10154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Mirage, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.