Individual provider Active NPI

Diane Marie Rinaldi, PA-C

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1790064798
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6377 Issued in AZ
Practice address
5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800
Phone
(480) 443-8400
Fax
(480) 443-8697
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6377 AZ Primary
Physician Assistant 363A00000X 0846 NH

Addresses

Primary practice location

5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800

Mailing address

5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800
Phone (480) 443-8400

Other names 1

  • Ms. Diane Marie Atkinson Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105001767 AZ Practitioner - Physician Assistant 9335310440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

10615 W Thunderbird Blvd
Suite B100
Sun City, AZ 85351-2748
Phone (480) 443-8400

13028 W Rancho Santa Fe Blvd
Avondale, AZ 85392-1712
Phone (480) 433-8400

4550 E Bell Rd
Phoenix, AZ 85032-9385
Phone (480) 443-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0846NHMDSpeech-Language Pathologist
6377AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis and Rheumatology Associates CurrentSince Feb 28, 2022 Accepting new patients
Banner Physician Specialists Arizona LLC Past Accepting new patients

Locations

5681 W Beverly Ln
Ste 100
Glendale, AZ 85306
Phone (480) 443-8697

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

Interoperability endpoints

  • Direct secure messaging: diane.rinaldi.p1@direct.aara.nextgenshare.com

Organizations & group practices 3

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1790064798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 W BEVERLY LN STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853069800",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 W BEVERLY LN STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853069800",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDI",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6377",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "ATKINSON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.