Individual provider Active NPI

Rex Rios Doctor

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1376433995
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RNP235480 Issued in AZ
Practice address
8515 W Lamar Rd
Glendale, AZ 85305-3419
Phone
(602) 907-6840
NPI assigned
Jul 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RNP235480 AZ
Gerontology Nurse Practitioner 363LG0600X RNP235480 AZ
Primary Care Nurse Practitioner 363LP2300X RNP235480 AZ Primary

Addresses

Primary practice location

8515 W Lamar Rd
Glendale, AZ 85305-3419

Mailing address

8515 W Lamar Rd
Glendale, AZ 85305-3419
Phone (602) 907-6840

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
I20251007001023 AZ Practitioner - Nurse Practitioner 2466959556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MH 7 LLCGroup PAC ID 3870753940, 7 clinicians

Practice addresses (Care Compare)

7301 N 16TH St
Suite 202
Phoenix, AZ 85020-5265
Phone (602) 753-2345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP235480AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Vital Care LLC CurrentSince Sep 18, 2025 Accepting new patients
MH 7 LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2375 E Camelback Rd
Phoenix, AZ 85016
Phone (602) 383-5730

1928 E Highland Ave
Ste F104
Phoenix, AZ 85016
Phone (602) 898-6977

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1376433995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053419",
            "telephone_number": "602-907-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053419",
            "telephone_number": "602-907-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "REX",
        "middle_name": "RIOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RNP235480",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RNP235480",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "RNP235480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.