NPIMap

Individual provider Active NPI

Michael W Rada, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gilbert, AZ
National Provider Identifier
1447240148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
20406 Issued in OK
Practice address
2531 E Drake St
Gilbert, AZ 85234-1118
Phone
(480) 926-6717
NPI assigned
Oct 24, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 20406 OK Primary

Addresses

Primary practice location

2531 E Drake St
Gilbert, AZ 85234-1118

Mailing address

2531 E Drake St
Gilbert, AZ 85234-1118
Phone (480) 926-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20406OKMDEmergency Medical Services (Emergency Medicine) Physician
25455CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Kent MD Inc PC Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Sterling Emergency Services of Oklahoma, Inc. Past Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients
Southern Medical Partners, LLC Past Accepting new patients
Hughes Emergency Physicians Past Accepting new patients
Mayes County Hma, LLC Past Accepting new patients
Winnebago Indian Health Service Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Emergency Management Associates PC Past Accepting new patients
Washita Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447240148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 E DRAKE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341118",
            "telephone_number": "480-926-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 E DRAKE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341118",
            "telephone_number": "480-926-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "20406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.