NPIMap

Individual provider Active NPI

Patricia Ann Cremona, MD

  • Internal Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1649323551
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21864 Issued in AZ
Practice address
13677 W McDowell Rd
Goodyear, AZ 85338-2618
Phone
(602) 568-1599
NPI assigned
Jan 22, 2007
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44034 KY
Internal Medicine Physician 207R00000X 21864 AZ Primary

Addresses

Primary practice location

13677 W McDowell Rd
Goodyear, AZ 85338-2618

Mailing address

PO Box 708850
Sandy, UT 84070-8850
Phone (866) 869-2395

Other identifiers 1

IdentifierTypeStateIssuer
P003873614OtherAZRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
97.62
Improvement activities
40
Cost
67.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21864AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Diagnostics, LLC CurrentSince Feb 7, 2024 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Emergency Medical Solutions, LTD. Emergency Medicine Past Accepting new patients
Prodigee Inpatient Physicians Group, P.L.L.C. Past Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients
Willard Emergency Physicians Emergency Medicine Past Accepting new patients
Gregg Smith D.O., P.C. Past Accepting new patients
Casa Grande Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Apogee Medical Group, Louisiana, Inc. Past Accepting new patients
Diamond Medical Equipment L.L.C. Past Accepting new patients

Locations

1324 N Farrell Ct
Ste 102
Gilbert, AZ 85233
Phone (480) 926-4363

Organizations & group practices 12

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1649323551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708850",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708850",
            "telephone_number": "866-869-2395",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13677 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382618",
            "telephone_number": "602-568-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMONA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "44034",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "21864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P003873614",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.