Active NPI
Maria Radulovic, NP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8500
- Practice address
- 1515 N 9TH St
Ste B
Phoenix, AZ 85006-2523 - Phone
- (602) 258-9859
- Fax
- (480) 214-9945
- NPI assigned
- Mar 15, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP8500 | AZ | Primary |
Addresses
Primary practice location
1515 N 9TH St
Ste B
Phoenix, AZ 85006-2523
Mailing address
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4583
Phone (480) 455-3000
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8500 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| 4C Medical Group PLC | Current | Accepting new patients | |
| Unicorn Wings | Family | Current | Accepting new patients |
| 4C Medical Group PLC | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Affiliated Hospitalists, PLC | Current | Accepting new patients |
Locations
17218 N 72nd Dr
Ste 100
Glendale, AZ 85308
Phone (623) 334-8670
16620 N 40th St
Ste C1
Phoenix, AZ 85032
Phone (602) 923-6666
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400
File 56765
Los Angeles, CA 90074
Interoperability endpoints
- maria.radulovic@1028.chartlogic.direct-ci.com
- maria.radulovic@121801051799556.direct.elationemr.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558654384
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1265546261
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1326867110
-
- Urgent Care Clinic/Center
- Carefree, AZ
- NPI 1669916607
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1033570304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR",
"address_2": "STE 125",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584583",
"telephone_number": "480-455-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N 9TH ST",
"address_2": "STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062523",
"telephone_number": "602-258-9859",
"fax_number": "480-214-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADULOVIC",
"first_name": "MARIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.