Active NPI
Lory Ellen Baraz, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25915
- Practice address
- 3815 E Bell Rd Ste 4100
Phoenix, AZ 85032-2167 - Phone
- (602) 494-5040
- Fax
- (602) 494-4020
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25915 | AZ | Primary |
Addresses
Primary practice location
3815 E Bell Rd Ste 4100
Phoenix, AZ 85032-2167
Mailing address
3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3838
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 645153 | Medicaid | AZ | |
| Z189045 | Other | AZ | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521
Phone (623) 512-4190
3815 E Bell Rd
Suite 3200
Phoenix, AZ 85032-2162
Phone (623) 882-1292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22915 | AZ | MD | Clinical Social Worker |
| 25915 | AZ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group Arizona, LLC | Current | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Locations
10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155
14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190
3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838
3815 E Bell Rd
Ste 4100
Phoenix, AZ 85032
Phone (602) 494-5015
3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689
3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754
9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838
1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358
Interoperability endpoints
- lory.baraz.2@33227.direct.athenahealth.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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
Internal Medicine
-
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1790780393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 4500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322171",
"telephone_number": "602-633-3838",
"fax_number": "602-633-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 4100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322167",
"telephone_number": "602-494-5040",
"fax_number": "602-494-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAZ",
"first_name": "LORY",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "25915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "645153",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z189045",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.