Active NPI
Linda Rita Makdesi, M.D.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125048750
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125048750 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Circle the City | Current | Accepting new patients | |
| Circle the City | Family Medicine | Current | Accepting new patients |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Circle the City | Current | 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
- 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1346588316
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1144093972
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1932588795
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1831380781
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1548462716
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.