Individual provider Active NPI

Patricia R Reiff, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1063400760
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AZ17334 Issued in AZ
Practice address
1101 West MC Dowell
Phoenix, AZ 85007
Phone
(602) 252-8089
Fax
(602) 252-8460
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17334 AZ
Family Medicine Physician 207Q00000X AZ17334 AZ Primary

Addresses

Primary practice location

1101 West MC Dowell
Phoenix, AZ 85007

Mailing address

1101 West MC Dowell
Phoenix, AZ 85007
Phone (602) 252-8089

Other identifiers 1

IdentifierTypeStateIssuer
292459MedicaidAZ

Other names 1

  • Miss Patricia Ruth Carlson Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000603 AZ Practitioner - Family Practice 8628096930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 W McDowell Rd
Phoenix, AZ 85007-1747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ17334AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia R Reiff,M.D.,P.C. Family Medicine CurrentSince Jan 1, 1996 Accepting new patients

Locations

1101 W McDowell Rd
Phoenix, AZ 85007
Phone (602) 252-8089

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADCGCA/Endpoint/ADCGCA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1063400760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WEST MC DOWELL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85007",
            "telephone_number": "602-252-8089",
            "fax_number": "602-252-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEST MC DOWELL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85007",
            "telephone_number": "602-252-8089",
            "fax_number": "602-252-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFF",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17334",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ17334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292459",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CARLSON",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.