Individual provider Active NPI

Ladan Naraqi, MD

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1336261213
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
52967 Issued in AZ
Practice address
1625 N 39TH Ave
Phoenix, AZ 85009-2149
Phone
(602) 257-4323
Fax
(602) 257-4338
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52967 AZ Primary
Obstetrics & Gynecology Physician 207V00000X 049494 GA

Addresses

Primary practice location

1625 N 39TH Ave
Phoenix, AZ 85009-2149

Mailing address

1300 S 10TH St
Phoenix, AZ 85034-4516
Phone (602) 257-4323

Other identifiers 1

IdentifierTypeStateIssuer
812885MedicaidAZ

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
I20241112000360 AZ Practitioner - Obstetrics/Gynecology 1557265170 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52967AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Community Center, Inc CurrentSince Sep 16, 2024 Accepting new patients
Wesley Community Center Inc CurrentSince Sep 16, 2024 Accepting new patients
Wesley Community Center, Inc Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Wesley Community Center Inc Past Accepting new patients

Locations

1625 N 39th Ave
Phoenix, AZ 85009
Phone (602) 233-0017

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1336261213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344516",
            "telephone_number": "602-257-4323",
            "fax_number": "602-257-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N 39TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850092149",
            "telephone_number": "602-257-4323",
            "fax_number": "602-257-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAQI",
        "first_name": "LADAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "52967",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "049494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812885",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.