Active NPI
Rachel Cabrera Deatherage, M.D.
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R72109
- Practice address
- 3330 N 2ND St
Suite 500
Phoenix, AZ 85012-2368 - Phone
- (602) 906-3740
- Fax
- (602) 265-3385
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R72109 | AZ | Primary |
Addresses
Primary practice location
3330 N 2ND St
Suite 500
Phoenix, AZ 85012-2368
Mailing address
3330 N 2ND St
Suite 500
Phoenix, AZ 85012-2368
Phone (602) 906-3740
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9327 N 3Rd St
Suite 100
Phoenix, AZ 85020-2471
Phone (602) 371-3100
Hospital & facility affiliations
- Emblem Home Health
- Honorhealth Scottsdale Osborn Medical Center
- Honor Health John C. Lincoln Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72109 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Squaw Peak Family Physicians PC | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711
16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999
1515 E Bethany Home Rd
Ste 120A
Phoenix, AZ 85014
Phone (480) 718-5072
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100
9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838
18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3330 N 2nd St
Ste 500
Phoenix, AZ 85012
Phone (602) 910-0069
Interoperability endpoints
- rdeatherage55579@direct.honorhealth.com
Organizations & group practices 10
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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Rheumatology Physician
- Phoenix, AZ
- NPI 1538484993
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1033104716
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1932191715
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1578590303
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1679876601
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tempe, AZ
- NPI 1790183895
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1295055580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 N 2ND ST",
"address_2": "SUITE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122368",
"telephone_number": "602-906-3740",
"fax_number": "602-265-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 N 2ND ST",
"address_2": "SUITE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122368",
"telephone_number": "602-906-3740",
"fax_number": "602-265-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEATHERAGE",
"first_name": "RACHEL",
"middle_name": "CABRERA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R72109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.