Active NPI
Rosa Maria Banuelos, M.D.
- Family Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20230
- Practice address
- 3041 W. Queen Creek Rd.
Chandler, AZ 85286 - Phone
- (520) 796-2600
- Fax
- (602) 528-1255
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20230 | AZ | Primary |
Addresses
Primary practice location
3041 W. Queen Creek Rd.
Chandler, AZ 85286
Mailing address
PO Box 115
Sacaton, AZ 85147-0002
Phone (520) 796-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000122 | TX | Practitioner - Family Practice | 1052207362 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gila River Health Care Corporation
Practice addresses (Care Compare)
3042 W Queen Creek Rd
Hu Hu Kam Memorial Hospital
Chandler, AZ 85286-0038
Phone (602) 528-1200
Hospital & facility affiliations
- Huhu Kam Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 76.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Your Family Physician PC | Family Medicine | Past | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laveen, AZ
- NPI 1700867819
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacaton, AZ
- NPI 1891776902
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Rural Acute Care Hospital
- Maricopa, AZ
- NPI 1386633915
Hospital & facility affiliations 2
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": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1528020856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "SACATON",
"state": "AZ",
"postal_code": "851470002",
"telephone_number": "520-796-2600",
"fax_number": "602-528-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 W. QUEEN CREEK RD.",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85286",
"telephone_number": "520-796-2600",
"fax_number": "602-528-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANUELOS",
"first_name": "ROSA",
"middle_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2024-02-09",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "20230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.