Individual provider Active NPI

Linda Rita Makdesi, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1063623262
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125048750 Issued in IL
Practice address
18404 N Tatum Blvd Ste 101
Phoenix, AZ 85032-1511
Phone
(602) 992-1900
Fax
(602) 485-7440
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125048750 IL Primary

Addresses

Primary practice location

18404 N Tatum Blvd Ste 101
Phoenix, AZ 85032-1511

Mailing address

2500 W Utopia Rd
Ste. 100
Phoenix, AZ 85027-4171
Phone (602) 214-6148

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
I20080808000261 AZ Practitioner - Internal Medicine 1254405285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone (602) 776-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125048750ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Apr 1, 2018 Accepting new patients
Circle the City CurrentSince Jun 12, 2023 Accepting new patients
Circle the City Family Medicine Current Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Apr 1, 2018 Accepting new patients
Circle the City CurrentSince Jun 12, 2023 Accepting new patients
Arizona Medical Boutique LLC Past Accepting new patients
Arizona Medical Boutique, LLC Past Accepting new patients

Locations

210 S 12th Ave
Phoenix, AZ 85007
Phone (602) 254-4282

3333 E Van Buren St
Phoenix, AZ 85008
Phone (602) 690-0598

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368

1107 E Bell Rd
Ste 3
Phoenix, AZ 85022

300 W Clarendon Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 776-0776

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

Interoperability endpoints

  • Direct secure messaging: linda.makdesi.1@11818.direct.athenahealth.com

Organizations & group practices 7

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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1063623262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "602-214-6148",
            "fax_number": "602-214-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321511",
            "telephone_number": "602-992-1900",
            "fax_number": "602-485-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKDESI",
        "first_name": "LINDA",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125048750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.