Individual provider Active NPI

Rachel Langland, M.D.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1164411849
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29531 Issued in AZ
Practice address
18301 N 79TH Ave Ste G190
Glendale, AZ 85308-6093
Phone
(602) 932-8597
Fax
(480) 474-4535
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 29531 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave Ste G190
Glendale, AZ 85308-6093

Mailing address

18301 N 79TH Ave Ste G190
Glendale, AZ 85308-6093
Phone (602) 932-8597

Other identifiers 1

IdentifierTypeStateIssuer
596968MedicaidAZ

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
I20040708000748 AZ Practitioner - Family PracticePractitioner - Internal Medicine 0345152492 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29531AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekonmedical LLC CurrentSince Mar 18, 2024 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Rachel Langland MD PC Family Medicine PastSince Oct 7, 2002 Accepting new patients

Locations

18275 N 59th Ave
Ste 162
Glendale, AZ 85308
Phone (602) 547-8184

18275 N 59th Ave
Ste 162K
Glendale, AZ 85308
Phone (602) 547-8184

18301 N 79th Ave
Ste G190
Glendale, AZ 85308
Phone (602) 932-8597

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

Organizations & group practices 3

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1164411849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "602-932-8597",
            "fax_number": "480-474-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "602-932-8597",
            "fax_number": "480-474-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLAND",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "29531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596968",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.