Individual provider Active NPI

Roberto Ramirez

  • Primary Care Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1346957321
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
283316 Issued in AZ
Practice address
26934 N 88TH LN
Peoria, AZ 85383-3732
Phone
(702) 498-3154
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 283316 AZ Primary

Addresses

Primary practice location

26934 N 88TH LN
Peoria, AZ 85383-3732

Mailing address

26934 N 88TH LN
Peoria, AZ 85383-3732
Phone (702) 498-3154

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
I20240119002318 AZ Practitioner - Nurse Practitioner 6406208958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pain Specialists PLLC 40 clinicians

Practice addresses (Care Compare)

18555 N 79TH Ave
Suite D101
Glendale, AZ 85308-6040
Phone (480) 563-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
283316AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Jan 24, 2024 Accepting new patients
Vet Evals CurrentSince Nov 9, 2025 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Jan 24, 2024 Accepting new patients

Locations

18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

Organizations & group practices 3

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1346957321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26934 N 88TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833732",
            "telephone_number": "702-498-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26934 N 88TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833732",
            "telephone_number": "702-498-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ROBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "283316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.