Wabash Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29311 Issued in AZ

Legal business name

WABASH MEDICAL ASSOCIATES PC

Practice address

13927 W Grand Ave
Suite 401
Surprise, AZ 85374-2438

Phone

(623) 544-6963

Fax

(623) 975-5486

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Jagdeep Bains, MDNPI 1013966621

Title

Secretary

Phone

(623) 544-6963

Specialties & licenses 1

Addresses

Other names 1

• Sun City West Internal Medicine Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdeep K Bains, M.D

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1013966621
  Medicare reassignment Care Compare group NPD Authorized official
• Navjot K Rakkar, MD

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1598714263
  Medicare reassignment Care Compare group NPD
• David Maldonado, DPT

  • Physical Therapist
  • Mountlake Terrace, WA
  • NPI 1366730137
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730138413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13927 W GRAND AVE",
            "address_2": "SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742438",
            "telephone_number": "623-544-6963",
            "fax_number": "623-975-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13927 W GRAND AVE",
            "address_2": "SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742438",
            "telephone_number": "623-544-6963",
            "fax_number": "623-975-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAINS",
        "authorized_official_first_name": "JAGDEEP",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "623-544-6963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City West Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun City West Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Voth
• Sonia J Voyles, LPC
• Biljana Vranes, RDH
• Le H. Vu, M.D.
• Mi Vu
• Waddell Family Care PLLC
• Waddell Medical Center LLC
• Gary Lee Waddington, MD
• Sherry Wagoner
• McKayla Marie Wahlquist

• Internal Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.