Individual provider Active NPI

Ruben D Puha

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1780490482
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11503 Issued in AZ
Practice address
10240 N 43Rd Ave Ste 3
Glendale, AZ 85302-2044
Phone
(623) 742-2060
NPI assigned
Dec 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11503 AZ Primary

Addresses

Primary practice location

10240 N 43Rd Ave Ste 3
Glendale, AZ 85302-2044

Mailing address

10240 N 43Rd Ave Ste 3
Glendale, AZ 85302-2044
Phone (623) 742-2060

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310002531 AZ Practitioner - Physician Assistant 1153804000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

10240 N 43Rd Ave
Suite 3
Glendale, AZ 85302-2044
Phone (623) 742-2060

17688 W Elliot Rd
Goodyear, AZ 85338-9009
Phone (623) 889-6823

18589 N 59TH Ave
Suite 101
Glendale, AZ 85308-1258
Phone (602) 547-2600

20470 N Lake Pleasant Rd
Suite 102
Peoria, AZ 85382-9708
Phone (623) 825-4600

5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189

7650 S 59TH Ave
Suite A105
Laveen, AZ 85339-3071
Phone (602) 476-8888

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11503AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

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.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1780490482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 N 43RD AVE STE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022044",
            "telephone_number": "623-742-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 N 43RD AVE STE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022044",
            "telephone_number": "623-742-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHA",
        "first_name": "RUBEN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.