Individual provider Active NPI

Rachel Cabrera Deatherage, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1295055580
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R72109 Issued in AZ
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

Updated by the provider on Sep 22, 2015

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018000373 AZ Practitioner - Family Practice 8628202082 Reassigns benefits to 2 organizations

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
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

9327 N 3Rd St
Suite 100
Phoenix, AZ 85020-2471
Phone (602) 371-3100

Hospital & facility affiliations

  • Emblem Home Health Home health agency, Tempe, AZ, CCN 037253
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72109AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jul 13, 2015 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 CurrentSince Oct 1, 2013 Accepting new patients
District Medical Group, Inc CurrentSince Oct 1, 2013 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jul 13, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.