Individual provider Active NPI

Raj Makadia, MD

  • Family Medicine Physician
  • El Mirage, AZ
National Provider Identifier
1386086569
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51596 Issued in AZ
Practice address
12428 W Thunderbird Rd
Family Medicine
El Mirage, AZ 85335-3113
Phone
(623) 344-6500
Fax
(623) 344-6501
NPI assigned
Jul 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51596 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12428 W Thunderbird Rd
Family Medicine
El Mirage, AZ 85335-3113

Mailing address

2929 E Thomas Rd
Family Medicine
Phoenix, AZ 85016-8034
Phone (602) 470-5043

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
I20160728001099 AZ Practitioner - Family Practice 3173816154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maricopa County Special Health Care DistrictGroup PAC ID 4688583651, 124 clinicians

Practice addresses (Care Compare)

2025 W Northern Ave
Phoenix, AZ 85021-5157
Phone (602) 655-6300

33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone (602) 344-6400

8088 W Whitney Dr
Peoria, AZ 85345-6564
Phone (833) 855-9973

811 S Hamilton St
Chandler, AZ 85225-6308
Phone (480) 344-6100

Hospital & facility affiliations

  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51596AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 15, 2016 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Jul 15, 2016 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jul 15, 2016 Accepting new patients
Lpwallmd PC PastSince Dec 15, 2024 Accepting new patients
L Philipp Wall MD PC Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

12428 W Thunderbird Rd
El Mirage, AZ 85335
Phone (623) 344-6500

5141 W Lamar Rd
Glendale, AZ 85301
Phone (602) 506-6767

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2025 W Northern Ave
Phoenix, AZ 85021
Phone (602) 344-5253

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

7808 W Thomas Rd
Phoenix, AZ 85033
Phone (480) 271-7576

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

1101 N Central Ave
Ste 201
Phoenix, AZ 85004
Phone (602) 344-6550

1201 S 7th Ave
Phoenix, AZ 85007
Phone (602) 258-5111

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

Interoperability endpoints

  • Direct secure messaging: rmakadia125930@direct.valleywisehealth.org

Organizations & group practices 8

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 12

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1386086569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "address_2": "FAMILY MEDICINE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5043",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12428 W THUNDERBIRD RD",
            "address_2": "FAMILY MEDICINE",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353113",
            "telephone_number": "623-344-6500",
            "fax_number": "623-344-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "51596",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

Verify at the official NPI Registry.