Active NPI
Teardaad Makarachi, PA-C
- Physician Assistant
- Scottsdale, AZ
National Provider Identifier
1659883551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11826
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5404 - Phone
- (480) 301-8000
- NPI assigned
- Nov 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA185111 | OR | |
| Medical Physician Assistant | 363AM0700X | PA185111 | OR | |
| Physician Assistant | 363A00000X | 11826 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-3442
Other practice location 2
675 N 5th St
Lebanon, OR 97355-2875
Phone (541) 451-6282
Other practice location 3
875 Oak St SE Ste 5070
Salem, OR 97301
Phone (503) 561-8565
Other practice location 4
5900 Inland Shores Way N Ste 201
Keizer, OR 97303-3884
Phone (503) 561-8565
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmakarachi2779675@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA185111 | OR | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Salem, OR
- NPI 1467672261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1659883551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595404",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-3442",
"fax_number": "503-494-5330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "675 N 5th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OR",
"postal_code": "973552875",
"country_code": "US",
"telephone_number": "541-451-6282",
"fax_number": "541-812-2041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 Oak St SE Ste 5070",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "97301",
"country_code": "US",
"telephone_number": "503-561-8565",
"fax_number": "503-561-8560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5900 Inland Shores Way N Ste 201",
"address_purpose": "LOCATION",
"city": "Keizer",
"state": "OR",
"postal_code": "973033884",
"country_code": "US",
"telephone_number": "503-561-8565",
"fax_number": "503-561-8560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKARACHI",
"first_name": "TEARDAAD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA185111",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA185111",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "11826",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmakarachi2779675@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.