Individual provider Active NPI

Ethan Bindelglas, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1245218080
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30508 Issued in AZ
Practice address
4350 E Camelback Rd
Suite G120
Phoenix, AZ 85018-2701
Phone
(602) 952-0625
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 30508 AZ Primary

Addresses

Primary practice location

4350 E Camelback Rd
Suite G120
Phoenix, AZ 85018-2701

Mailing address

4350 E Camelback Rd
Suite G120
Phoenix, AZ 85018-2701
Phone (602) 952-0625

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
I20140815001953 AZ Order and Referring Only - Family PracticePractitioner - Family Practice 0042437972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30508AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan C Weinrach MD PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ethan.bindelglas.1@5919.direct.athenahealth.com

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245218080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD",
            "address_2": "SUITE G120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182701",
            "telephone_number": "602-952-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD",
            "address_2": "SUITE G120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182701",
            "telephone_number": "602-952-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDELGLAS",
        "first_name": "ETHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.