Individual provider Active NPI

Amanda Rapp, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1104192525
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R73186 Issued in AZ
Practice address
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone
(602) 246-5658
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R73186 AZ Primary

Addresses

Primary practice location

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443

Mailing address

2000 W Bethany Home Rd # 200
Phoenix, AZ 85015-2443
Phone (602) 246-5525

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
I20150923003182 AZ Practitioner - Family Practice 2163739137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwestern UniversityGroup PAC ID 6305734773, 116 clinicians
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Practice addresses (Care Compare)

19389 N 59TH Ave
Glendale, AZ 85308-6500
Phone (623) 537-6000

3200 N Dobson Rd
Suite B 1
Chandler, AZ 85224-9608
Phone (602) 491-0703

5112 W Olive Ave
C113
Glendale, AZ 85302-4209
Phone (602) 491-0703

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73186AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Midwestern University CurrentSince Jan 1, 2023 Accepting new patients
Midwestern University CurrentSince Jan 1, 2023 Accepting new patients
Healthyu Family Medicine, LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Midwestern University Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 1, 2016 Accepting new patients
VHS of Phoenix Inc Past Accepting new patients

Locations

3200 N Dobson Rd
Ste B-1
Chandler, AZ 85224
Phone (602) 491-0701

19389 N 59th Ave
Glendale, AZ 85308

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

2000 W Bethany Home Rd
#200
Phoenix, AZ 85015
Phone (602) 246-5525

2000 W Bethany Home Rd
Ste 200
Phoenix, AZ 85015
Phone (602) 246-5525

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

Interoperability endpoints

  • Direct secure messaging: amanda.rapp.1@24378.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
  • Direct secure messaging: arapp18493@direct.midwestern.edu

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1104192525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152443",
            "telephone_number": "602-246-5525",
            "fax_number": "602-433-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152443",
            "telephone_number": "602-246-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R73186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.