Individual provider Active NPI

Caryn A. Doudna, M.D.

  • Diagnostic Radiology Physician
  • Mesa, AZ
National Provider Identifier
1669461380
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25820 Issued in AZ
Practice address
6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Phone
(480) 456-9000
NPI assigned
Oct 14, 2005
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25820 AZ Primary

Addresses

Primary practice location

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750

Mailing address

1201 S Alma School Rd
Ste 14000
Mesa, AZ 85210-2008
Phone (480) 545-8119

Other practice location 1

1125 E Southern Ave
Suite 300
Mesa, AZ 85204-5045
Phone (480) 545-8119

Other identifiers 1

IdentifierTypeStateIssuer
397605MedicaidAZ

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25820AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Associated Radiologists LTD CurrentSince Jan 1, 1991 Accepting new patients
Banner-University Medical Group Diagnostic Radiology Past Accepting new patients
Desert Open MRI LLC Past Accepting new patients

Locations (25 of 54)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1828 E Florence Blvd
Ste B118
Casa Grande, AZ 85122

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999

5757 W Thunderbird Rd
Ste W101
Glendale, AZ 85306
Phone (602) 843-1700

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

7701 W Aspera Blvd
Ste 101
Glendale, AZ 85308
Phone (623) 248-2100

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1125 E Southern Ave
Ste 300
Mesa, AZ 85204
Phone (480) 545-8119

1201 S Alma School Rd
Ste 14000
Mesa, AZ 85210
Phone (480) 545-8119

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

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, 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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1669461380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD",
            "address_2": "STE 14000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102008",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-456-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E Southern Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045045",
            "country_code": "US",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUDNA",
        "first_name": "CARYN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "25820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397605",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.