Active NPI
Ralph B Rabin, DPM
- Podiatrist
- Avondale, AZ
National Provider Identifier
1497741821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 081
- Practice address
- 13055 W McDowell Rd
Suite G108
Avondale, AZ 85392-6449 - Phone
- (623) 846-9000
- Fax
- (623) 846-4021
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 081 | AZ | Primary |
Addresses
Primary practice location
13055 W McDowell Rd
Suite G108
Avondale, AZ 85392-6449
Mailing address
13055 W McDowell Rd
Suite G108
Avondale, AZ 85392-6449
Phone (623) 846-9000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0195110 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 700535 | Medicaid | AZ | |
| 612151800 | Other | AZ | DEPARTMENT OF LABOR |
| 480127653 | Other | AZ | MEDICARE RAILROAD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081 | AZ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1497741821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13055 W MCDOWELL RD",
"address_2": "SUITE G108",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853926449",
"telephone_number": "623-846-9000",
"fax_number": "623-846-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13055 W MCDOWELL RD",
"address_2": "SUITE G108",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853926449",
"telephone_number": "623-846-9000",
"fax_number": "623-846-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABIN",
"first_name": "RALPH",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0195110",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700535",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "612151800",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480127653",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.