Individual provider Active NPI

Raul McKeever Webster, MD

  • Urology Physician
  • Mesa, AZ
National Provider Identifier
1306855028
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
32815 Issued in AZ
Practice address
2530 E Southern Ave
Mesa, AZ 85204-5411
Phone
(480) 834-4188
Fax
(480) 834-6181
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 32815 AZ Primary

Addresses

Primary practice location

2530 E Southern Ave
Mesa, AZ 85204-5411

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other identifiers 4

IdentifierTypeStateIssuer
AZ0757030OtherAZBLUECROSSBLUESHIELDAZ
1900842MedicaidAZ
2Z2071OtherAZHEALTHNET
7934572OtherAZAETNA

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
I20040622000783 AZ Practitioner - Urology 6305821513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

Practice addresses (Care Compare)

17300 N Perimeter Dr
Suite 220
Scottsdale, AZ 85255-6703
Phone (480) 661-2662

2530 E Southern Ave
Mesa, AZ 85204-5411
Phone (602) 222-1900

Hospital & facility affiliations

  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32815AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC Urology CurrentSince Jan 1, 2016 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 29, 2012 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 29, 2012 Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

334 W 10th Pl
Ste 102
Mesa, AZ 85201
Phone (480) 834-4188

2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188

5058 E Southern Ave
Ste 102
Mesa, AZ 85206
Phone (480) 834-4188

77 E Thomas Rd
Ste 230
Phoenix, AZ 85012
Phone (602) 253-3084

19841 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (480) 834-4188

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: raulwebster@fu.allscriptsdirect.net

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 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1306855028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045411",
            "telephone_number": "480-834-4188",
            "fax_number": "480-834-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "RAUL",
        "middle_name": "MCKEEVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "32815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELDAZ",
            "identifier": "AZ0757030",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900842",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z2071",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7934572",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.