Organization Active NPI

MD Medical Group, LLC

Doing business as MD Medical Group

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1508609017
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MD MEDICAL GROUP, LLC
Doing business as
MD Medical Group
Practice address
7500 N Dreamy Draw Dr Ste 211a
Phoenix, AZ 85020-4669
Phone
(602) 266-9971
Fax
(602) 266-9968
NPI assigned
Jun 13, 2024
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Alisa Jeffcoat, RN
Title
Administrator
Phone
(602) 266-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7500 N Dreamy Draw Dr Ste 211a
Phoenix, AZ 85020-4669

Mailing address

7500 N Dreamy Draw Dr Ste 211a
Phoenix, AZ 85020-4669
Phone (602) 266-9971

Other names 1

  • MD Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911001190 AZ Part B Supplier - Clinic/Group Practice 3173063658 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7500 N Dreamy Draw Dr
Ste 211A
Phoenix, AZ 85020
Phone (602) 266-9971

10250 N 92nd St
Ste 308
Scottsdale, AZ 85258
Phone (480) 614-6655

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1508609017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 211A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204669",
            "telephone_number": "602-266-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 211A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204669",
            "telephone_number": "602-266-9971",
            "fax_number": "602-266-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-266-9971",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.