Active NPI
Rabadi Physicians PLLC
- Internal Medicine Physician
- Goodyear, AZ
National Provider Identifier
1023891710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RABADI PHYSICIANS PLLC
- Practice address
- 13575 W McDowell Rd
Goodyear, AZ 85395-2604 - Phone
- (623) 536-9911
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salem Al Rabadi, MD
- Title
- President
- Phone
- (928) 788-5214
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
13575 W McDowell Rd
Goodyear, AZ 85395-2604
Mailing address
PO Box 2510
Mesa, AZ 85214-2510
Phone (928) 788-5214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230907001530 | AZ | Part B Supplier - Clinic/Group Practice | 0941664122 |
Receives reassigned benefits from 2 practitioners Practice locations: Goodyear, AZ |
National Provider Directory
National Provider DirectoryPractitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1023891710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2510",
"city": "MESA",
"state": "AZ",
"postal_code": "852142510",
"telephone_number": "928-788-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13575 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952604",
"telephone_number": "623-536-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RABADI PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-16",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "AL RABADI",
"authorized_official_first_name": "SALEM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-788-5214",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.