Individual provider Active NPI

Rajesh Thiraviam Pillai, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1700801602
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31773 Issued in AZ
Practice address
1635 W Glendale Ave
Phoenix, AZ 85021-8813
Phone
(602) 544-2273
Fax
(602) 544-3017
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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 31773 AZ Primary

Addresses

Primary practice location

1635 W Glendale Ave
Phoenix, AZ 85021-8813

Mailing address

1635 W Glendale Ave
Phoenix, AZ 85021-8813
Phone (602) 544-2273

Other identifiers 1

IdentifierTypeStateIssuer
797037MedicaidAZ

Other names 1

  • Rajesh T Pillai Other name

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
I20080912000340 AZ Practitioner - Family Practice 6103992300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
1St Care Medical ClinicGroup PAC ID 2062429434, 4 clinicians

Practice addresses (Care Compare)

1635 W Glendale Ave
Phoenix, AZ 85021-8813
Phone (602) 544-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
1St Care Wound Clinic PLLC Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
1St Care Medical Clinic Family Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

637 E Main St
Mesa, AZ 85203
Phone (480) 272-8877

637 E Main St
Ste B
Mesa, AZ 85203
Phone (480) 588-5464

637 E Main St
Unit B
Mesa, AZ 85203

3201 W Peoria Ave
Ste D805
Phoenix, AZ 85029
Phone (602) 569-5437

1635 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 249-1972

10147 Grand Ave
#C4
Sun City, AZ 85351
Phone (480) 588-5464

10147 Grand Ave
Ste C4
Sun City, AZ 85351
Phone (480) 588-5464

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1700801602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218813",
            "telephone_number": "602-544-2273",
            "fax_number": "602-544-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 W GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218813",
            "telephone_number": "602-544-2273",
            "fax_number": "602-544-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRAVIAM PILLAI",
        "first_name": "RAJESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797037",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJESH",
            "last_name": "PILLAI",
            "middle_name": "T",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.