Privia Medical Group Arizona, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PRIVIA MEDICAL GROUP ARIZONA, LLC

Practice address

14001 N 7TH St Ste F111
Phoenix, AZ 85022-4382

Phone

(602) 633-3780

Fax

(602) 633-3782

NPI assigned

Nov 20, 2019

Last updated

May 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindy Smith

Title

Ceo

Phone

(602) 633-3811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141

  1052328408

  Same PAC ID

Locations (25 of 28)

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Nathan Abelev, MD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1417573163
  NPD
• Islam Mustafa Abujubara, MD

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1265626774
  NPD
• Lisette Amezcua, FNP

  • Family Nurse Practitioner
  • Avondale, AZ
  • NPI 1962266858
  NPD
• Cathy Balzano, FNP

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1962905612

  Single Specialty

  NPD
• Lory Ellen Baraz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
  • NPI 1790780393
  NPD
• David H Beck, P.A.C.

  • Medical Physician Assistant
  • Glendale, AZ
  • NPI 1679646350
  NPD
• Pallavi Bellamkonda, M.D.

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1871718486
  NPD
• Rachael Bennett, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1134764590
  NPD
• David Joseph Chadwick I, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1164956041
  NPD
• Eric Clayton Christensen, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1134577810

  Single Specialty

  NPD
• Rachael Lynn Daley, MSN

  • Adult Health Nurse Practitioner
  • Avondale, AZ
  • NPI 1558577320
  NPD
• Kristina Deveau, NP-C

  • Nurse Practitioner
  • Goodyear, AZ
  • NPI 1528511482
  NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1245876705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST STE F111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "602-633-3780",
            "fax_number": "602-633-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-633-3811"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith James Pritchette
• Margarette Privat
• Private Health Management Medical Group, PLLC
• Private Healthcare Facilities
• Private Suite Home Care Agency, LLC
• Privia Medical Group Arizona, LLC
• Privus Healthcare, LLC
• Fnu Priya
• Prizm Addiction Recovery LLC
• Prkay & Associates PLLC (AZ BrainCare)

• Neurology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.