Individual provider Active NPI

Rachel Mara O'Desky, PA-C

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1306155700
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4732 Issued in AZ
Practice address
3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649
Phone
(480) 425-5000
NPI assigned
Oct 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4732 AZ Primary
Medical Physician Assistant 363AM0700X 4732 AZ

Addresses

Primary practice location

3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649

Mailing address

8904 E Camino del Santo
Scottsdale, AZ 85260-7606
Phone (602) 614-6107

Other practice location 1

2323 W Rose Garden Lane
Phoenix, AZ 85027
Phone (480) 882-5254

Other identifiers 1

IdentifierTypeStateIssuer
573928MedicaidAZ

Other names 1

  • Rachel Mara Luber Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000616 AZ Practitioner - Physician Assistant 0941498877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (832) 915-2534

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (832) 915-2534

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (832) 915-2534

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (832) 915-2534

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (832) 915-2534

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services PC Physician Assistant CurrentSince Mar 1, 2016 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

Interoperability endpoints

  • Direct secure messaging: rachel.odesky@166622370791428.direct.elationemr.com

Organizations & group practices 4

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 5

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": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1306155700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 E CAMINO DEL SANTO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607606",
            "telephone_number": "602-614-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515649",
            "telephone_number": "480-425-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Rose Garden Lane",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85027",
            "country_code": "US",
            "telephone_number": "480-882-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DESKY",
        "first_name": "RACHEL",
        "middle_name": "MARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-02",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "4732",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573928",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LUBER",
            "middle_name": "MARA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.