Active NPI
Robert Powell
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11476
- Practice address
- 1331 N 7TH St Ste 405
Phoenix, AZ 85006-2754 - Phone
- (602) 254-3151
- Fax
- (866) 939-2673
- NPI assigned
- Jan 16, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11476 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
1331 N 7TH St Ste 405
Phoenix, AZ 85006-2754
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
Other practice location 1
18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673
Other practice location 2
10484 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-6019
Phone (866) 974-2673
Other practice location 3
10494 W Thunderbird Blvd Ste 102
Sun City, AZ 85351-6122
Phone (866) 997-4267
Other practice location 4
3420 S Mercy Rd Ste 211
Gilbert, AZ 85297-0424
Phone (602) 254-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
201 Cedar St SE
Albuquerque, NM 87106-4920
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
Hospital & facility affiliations
- Presbyterian Hospital
- Presbyterian Espanola Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
201 Cedar St SE
Ste 6630
Albuquerque, NM 87106
Phone (505) 563-6399
8300 Constitution Ave NE
Fl 2
Albuquerque, NM 87110
Phone (505) 291-2770
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770
Interoperability endpoints
- rpowell205819@direct.phs.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1043840283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "480-499-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 N 7TH ST STE 405",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062754",
"telephone_number": "602-254-3151",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [
{
"address_1": "18444 N 25th Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850231264",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10484 W Thunderbird Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853516019",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10494 W Thunderbird Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853516122",
"country_code": "US",
"telephone_number": "866-997-4267",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3420 S Mercy Rd Ste 211",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852970424",
"country_code": "US",
"telephone_number": "602-254-3151",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-16",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "11476",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.