Maricopa Family Health Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARICOPA FAMILY HEALTH CENTER LLC

Practice address

44400 W. Honeycutt Rd.
B-101
Maricopa, AZ 85239

Phone

(520) 494-7670

Fax

(520) 836-4429

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veeresh Moodabagil, MDNPI 1902853005

Title

President

Phone

(520) 494-7670

Specialties & licenses 1

Addresses

Locations

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.

• Veeresh Moodabagil, MD

  • Internal Medicine Physician
  • Casa Grande, AZ
  • NPI 1902853005
  NPD (past) Authorized official
• Praveen Devardhan, M.D.

  • Hospitalist Physician
  • Oro Valley, AZ
  • NPI 1932365954
  NPD (past)
• Pankaj Anil Ksheersagar, M.B.B.S.,M.D

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1003030586
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659326163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 E NIGHTHAWK WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489418",
            "telephone_number": "520-251-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44400 W. HONEYCUTT RD.",
            "address_2": "B-101",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85239",
            "telephone_number": "520-494-7670",
            "fax_number": "520-836-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA FAMILY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOODABAGIL",
        "authorized_official_first_name": "VEERESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-494-7670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricopa Behavioral Health Services, LLC
• Maricopa Best Care, LLC
• Maricopa Dental Center LLC
• Maricopa Family Dental LLC
• Maricopa Family Dentistry & Orthodontics
• Maricopa Family Practice
• Maricopa Family Psychiatry PLLC
• Maricopa Kids Dentists and Orthodontics, LLP (Maricopa Kids Dentists and Orthodontics)
• Maricopa Smiles, LLC (Smiley Dental)
• Maricopa Unified School District

• Family Medicine Physician in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.