Organization Active NPI

Arizona Internal Medicine & Pediatrics Corp.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1801926175
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARIZONA INTERNAL MEDICINE & PEDIATRICS CORP.
Practice address
9305 W Thomas Rd Ste 365
Phoenix, AZ 85037-3367
Phone
(602) 457-9915
Fax
(888) 836-5765
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Alicia Acevedo-Urcuyo, MDNPI 1841226644
Title
Owner
Phone
(602) 457-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X AZ Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X AZ

Addresses

Primary practice location

9305 W Thomas Rd Ste 365
Phoenix, AZ 85037-3367

Mailing address

9305 W Thomas Rd Ste 365
Phoenix, AZ 85037-3367
Phone (602) 457-9915

Other identifiers 1

IdentifierTypeStateIssuer
870859MedicaidAZ

Other names 1

  • Specialtycare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000395 AZ Part B Supplier - Clinic/Group Practice 8426021916 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1032434Arizona Internal Medicine & Pediatrics Corp9305 W Thomas Rd, Ste 290, Phoenix, AZ 85037Certificate of waiverAug 1, 2027

National Provider Directory

National Provider Directory

Locations

13065 W McDowell Rd
Avondale, AZ 85392
Phone (623) 386-3454

9305 W Thomas Rd
Ste 290
Phoenix, AZ 85037
Phone (602) 457-9915

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1801926175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 365",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373367",
            "telephone_number": "602-457-9915",
            "fax_number": "888-836-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 365",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373367",
            "telephone_number": "602-457-9915",
            "fax_number": "888-836-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTERNAL MEDICINE & PEDIATRICS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO-URCUYO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-457-9915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870859",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialtycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 5, 2026; 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.