Individual provider Active NPI

Samuel M Magazu, MD

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1184604589
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21012 Issued in AZ
Practice address
13041 N del Webb Blvd
Sun City, AZ 85351-3034
Phone
(623) 977-7201
Fax
(623) 876-2820
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21012 AZ Primary

Addresses

Primary practice location

13041 N del Webb Blvd
Sun City, AZ 85351-3034

Mailing address

25500 N. Norterra Parkway
BLDG. B
Phoenix, AZ 85085
Phone (623) 277-1000

Other identifiers 1

IdentifierTypeStateIssuer
171827MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21012AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jan 1, 2000 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Jan 1, 2000 Accepting new patients

Locations

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1184604589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N. NORTERRA PARKWAY",
            "address_2": "BLDG. B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-277-1000",
            "fax_number": "602-371-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513034",
            "telephone_number": "623-977-7201",
            "fax_number": "623-876-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAZU",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "21012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171827",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.