Raldon Blake Allred, DO
Individual provider Active NPI Emergency Medicine Physician · Goodyear, AZ
NPI 1508569286 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1508569286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- R3958 (AZ)
- Practice address
- 13677 W McDowell Rd
Goodyear, AZ 85395-2635 - Phone
- (623) 882-1500
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Group of Arizona Professional Corporation
Practice addresses (Care Compare)
2000 W Bethany Home Rd
Phoenix, AZ 85015-2110
Phone (602) 249-0212
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Abrazo Central Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515002273 | AZ | Practitioner - Emergency Medicine | 4183193493 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3958 | AZ | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R3958 | AZ | Yes |
Addresses
Primary practice location
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Mailing address
1040 E 900 S Unit 19
St George, UT 84790-2045
Phone (385) 208-8649
Other providers in Goodyear, AZ
- Amy Lynn Allaman
- Hunter Allen
- Laurie M Allen
- Travis R. Allen
- Alliance Behavioral Care LLC
- Ashley Almajan
- Leslie Mya Almanza
- Alrabadi Health Care
- Hana Alsadi
- Frederick Peter Alt
All providers in Goodyear, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.