Individual provider Active NPI

Ralph Adam Patterson, M.D.

  • Family Medicine Physician
  • Saint Johns, AZ
National Provider Identifier
1558719468
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58002 Issued in AZ
Practice address
625 N 13TH W
Saint Johns, AZ 85936-4986
Phone
(928) 337-3000
Fax
(928) 532-3561
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58002 AZ Primary

Addresses

Primary practice location

625 N 13TH W
Saint Johns, AZ 85936-4986

Mailing address

625 N 13TH W
Saint Johns, AZ 85936-4986
Phone (928) 337-3000

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
I20191024001016 AZ Practitioner - Family Practice 2466745575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

625 N 13TH
St Johns, AZ 85936-1019
Phone (928) 337-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58002AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Sep 1, 2019 Accepting new patients
Summit Healthcare Association Current Accepting new patients
Summit Healthcare Association Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

Interoperability endpoints

  • Direct secure messaging: ralphpatterson@shrmcshma.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Healthcare Family Medicine St JohnsSaint Johns, AZ, CCN 033854 Rural health clinic Corporate Director Oct 14, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1558719468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N 13TH W",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859364986",
            "telephone_number": "928-337-3000",
            "fax_number": "928-532-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N 13TH W",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859364986",
            "telephone_number": "928-337-3000",
            "fax_number": "928-532-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "RALPH",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "58002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, AZ

Sources for this page

Verify at the official NPI Registry.