Active NPI
John H Mabry, MD
- Diagnostic Radiology Physician
- Glendale, AZ
National Provider Identifier
1124017181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9510
- Practice address
- 5322 W Northern Ave
Southwest Diagnostic Imaging LTD
Glendale, AZ 85301-1405 - Phone
- (480) 425-5063
- Fax
- (623) 915-6924
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9510 | AZ | Primary |
Addresses
Primary practice location
5322 W Northern Ave
Southwest Diagnostic Imaging LTD
Glendale, AZ 85301-1405
Mailing address
5322 W Northern Ave
Southwest Diagnostic Imaging LTD
Glendale, AZ 85301-1405
Phone (480) 425-5063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30WCFHS07 | Other | AZ | VRL |
| 211912 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9510 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Diagnostic Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Honorhealth Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Scottsdale, AZ
- NPI 1285338343
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1902896236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124017181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5322 W NORTHERN AVE",
"address_2": "SOUTHWEST DIAGNOSTIC IMAGING LTD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853011405",
"telephone_number": "480-425-5063",
"fax_number": "623-915-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5322 W NORTHERN AVE",
"address_2": "SOUTHWEST DIAGNOSTIC IMAGING LTD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853011405",
"telephone_number": "480-425-5063",
"fax_number": "623-915-6924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "JOHN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "9510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VRL",
"identifier": "30WCFHS07",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211912",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.