Roberto Zamudio-Millan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14156 Issued in AZ

Practice address

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013-4224

Phone

(877) 809-5092

Fax

(602) 266-8358

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831344035
  Medicare reassignment NPD
• Valle del Sol, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1174345839
  NPD
• Valle del Sol, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1922527928
  NPD
• El Rio Santa Cruz Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1528487782
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1245344167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN",
            "address_2": "STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374403",
            "telephone_number": "623-556-8860",
            "fax_number": "623-876-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "STE 870",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134224",
            "telephone_number": "877-809-5092",
            "fax_number": "602-266-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO-MILLAN",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "14156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenn Zamora
• Kristina Zamora
• Rachel Ann Zamora, MA
• Roxane Gail Zamora, D.C.
• William Zamora, D.O.
• Raymond Zamudio, LCSW
• Zamy Trucking, LLC
• Vanna L Zanagnolo, M.D.
• Nicole Zand, PHARMD, RPH
• Hassan Zandieh

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.