Individual provider Active NPI

Connie Rohan, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1528324548
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45182 Issued in AZ
Practice address
6544 W Thomas Rd Ste 11
Phoenix, AZ 85033-5740
Phone
(602) 834-5515
Fax
(877) 536-8279
NPI assigned
Apr 3, 2012
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45182 AZ Primary

Addresses

Primary practice location

6544 W Thomas Rd Ste 11
Phoenix, AZ 85033-5740

Mailing address

6544 W Thomas Rd Ste 11
Phoenix, AZ 85033-5740
Phone (602) 834-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120504000125 AZ Practitioner - HospitalistPractitioner - Internal Medicine 5890957062 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Phoenician Medical Center, Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Arizona Allergy Asthma & Immunology Consultants PLC Past Accepting new patients
Scottsdale Primary Care, PC Internal Medicine PastSince Dec 26, 2012 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine Past Accepting new patients
Ebony House Inc Past Accepting new patients
Greater Phoenix Collaborative Care PC PastSince Mar 18, 2015 Accepting new patients

Locations

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 899-2199

606 N Country Club Dr
Ste 1
Mesa, AZ 85201
Phone (480) 969-3511

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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, 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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1528324548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 W THOMAS RD STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335740",
            "telephone_number": "602-834-5515",
            "fax_number": "877-536-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 W THOMAS RD STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335740",
            "telephone_number": "602-834-5515",
            "fax_number": "877-536-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAN",
        "first_name": "CONNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.