NPIMap

Individual provider Active NPI

Robert Plata Cordero Jr., D.O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mesa, AZ
National Provider Identifier
1164818209
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
008070 Issued in AZ
Practice address
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone
(480) 321-3184
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 008070 AZ Primary

Addresses

Primary practice location

6644 E Baywood Ave
Mesa, AZ 85206-1747

Mailing address

4862 S Ferric
Mesa, AZ 85212-1202
Phone (480) 444-6024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924002770 AZ Practitioner - Hospice/Palliative Care 6406153865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Palliative Associates of ArizonaGroup PAC ID 9638408487, 24 clinicians

Practice addresses (Care Compare)

3811 E Bell Rd
Suite 111
Phoenix, AZ 85032-2158
Phone (480) 985-1093

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008070AZMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 24, 2019 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 24, 2019 Accepting new patients
Valley Geriatric Associates PLLC CurrentSince Jul 28, 2025 Accepting new patients
Pain and Palliative Associates of Arizona CurrentSince Jul 28, 2025 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3011 S Lindsay Rd
Ste 115
Gilbert, AZ 85295
Phone (602) 249-8578

3505 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 786-9100

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3811 E Bell Rd
Ste 111
Phoenix, AZ 85032
Phone (602) 675-2585

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1164818209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4862 S FERRIC",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121202",
            "telephone_number": "480-444-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061747",
            "telephone_number": "480-321-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "ROBERT",
        "middle_name": "PLATA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.