Individual provider Active NPI

Todd Michael Hrabak, D.O.

  • Allergy Physician
  • Glendale, AZ
National Provider Identifier
1801821152
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
4812 Issued in AZ
Practice address
5750 W. Thunderbird Rd #G780
Glendale, AZ 85306-4636
Phone
(602) 314-4220
Fax
(602) 788-1890
NPI assigned
Jul 12, 2006
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 4812 AZ Primary

Addresses

Primary practice location

5750 W. Thunderbird Rd #G780
Glendale, AZ 85306-4636

Mailing address

13634 N 93Rd Ave #100
Peoria, AZ 85381-4248
Phone (623) 933-0301

Other identifiers 1

IdentifierTypeStateIssuer
Z129011OtherAZMEDICARE PTAN

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
I20090505000448 AZ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2961550769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Medical Management LLCGroup PAC ID 4880586437, 10 clinicians

Practice addresses (Care Compare)

5750 W Thunderbird Rd
Suite G780
Glendale, AZ 85306-4682
Phone (602) 314-4220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as group
Quality
71.19
Improvement activities
40
Cost
78.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4812AZMDOccupational Therapy Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1382572800000",
    "number": "1801821152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE #100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814248",
            "telephone_number": "623-933-0301",
            "fax_number": "623-933-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W. THUNDERBIRD RD #G780",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-314-4220",
            "fax_number": "602-788-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRABAK",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z129011",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.