Individual provider Active NPI

Reginald Pius Q Baldonado, MD

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1295966315
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41409 Issued in AZ
Practice address
14873 W Bell Rd
Suite 100
Surprise, AZ 85374-7609
Phone
(623) 815-7800
Fax
(623) 815-7900
NPI assigned
Aug 6, 2009
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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 41409 AZ Primary

Addresses

Primary practice location

14873 W Bell Rd
Suite 100
Surprise, AZ 85374-7609

Mailing address

9145 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4820
Phone (623) 815-7800

Other identifiers 1

IdentifierTypeStateIssuer
457980MedicaidAZ

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
I20091016000238 AZ Practitioner - Family Practice 7416003801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

13481 W McDowell Rd
Suite 100
Goodyear, AZ 85395-2721
Phone (800) 233-3264

6220 W Bell Rd
Glendale, AZ 85308-3896

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Phoenix Medical Group, P.C. CurrentSince Sep 15, 2009 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Feb 4, 2017 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Phoenix Medical Group PC Past Accepting new patients
Phoenix Medical Group, PC 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

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6677 W Thunderbird Rd
Ste E
Glendale, AZ 85306
Phone (602) 439-0815

13481 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 536-3720

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

13943 N 91st Ave
Ste B104
Peoria, AZ 85381
Phone (623) 815-8900

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

9145 W Thunderbird Rd
Ste 101
Peoria, AZ 85381

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

14873 W Bell Rd
Ste 100
Surprise, AZ 85374

14877 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-8900

Interoperability endpoints

  • Direct secure messaging: rbaldonado9569@evernorth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1295966315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 W THUNDERBIRD RD",
            "address_2": "SUITE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814820",
            "telephone_number": "623-815-7800",
            "fax_number": "623-815-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14873 W BELL RD",
            "address_2": "SUITE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747609",
            "telephone_number": "623-815-7800",
            "fax_number": "623-815-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDONADO",
        "first_name": "REGINALD PIUS",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457980",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.