Individual provider Active NPI

Madeline Ritter, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1154217446
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11367 Issued in AZ
Practice address
2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969
Phone
(623) 582-6420
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11367 AZ Primary

Addresses

Primary practice location

2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021002834 AZ Practitioner - Physician Assistant 6709374879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

Practice addresses (Care Compare)

2902 W Agua Fria Fwy
Suite 1000
Phoenix, AZ 85027-3969
Phone (623) 582-6420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11367AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188

2902 W Agua Fria Fwy
Ste 220
Phoenix, AZ 85027

2902 W Agua Fria Fwy
Ste 1000
Phoenix, AZ 85027
Phone (623) 582-6420

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

Interoperability endpoints

  • Direct secure messaging: madelineritter@tsicua.allscriptsdirect.net

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": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1154217446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W AGUA FRIA FWY STE 1000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273969",
            "telephone_number": "623-582-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "MADELINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "11367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.