Individual provider Active NPI

Reza A Rod, MD

  • Plastic and Reconstructive Surgery Physician
  • Goodyear, AZ
National Provider Identifier
1801983317
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
38069 Issued in AZ
Practice address
14551 W Indian School Rd Ste 240
Goodyear, AZ 85395-9283
Phone
(623) 535-7050
Fax
(623) 535-7068
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 38069 AZ Primary

Addresses

Primary practice location

14551 W Indian School Rd Ste 240
Goodyear, AZ 85395-9283

Mailing address

14551 W Indian School Rd Ste 240
Goodyear, AZ 85395-9283
Phone (623) 535-7050

Other identifiers 1

IdentifierTypeStateIssuer
472458000MedicaidMN

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
I20080812000479 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9931106663 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Reza Aryai Rod MD PLLC Plastic Surgery CurrentSince Jul 28, 2008 Accepting new patients
District Medical Group, Inc Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

14551 W Indian School Rd
Ste 240
Goodyear, AZ 85395
Phone (623) 535-7050

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Interoperability endpoints

  • Direct secure messaging: rrod5217@direct.valleywisehealth.org

Organizations & group practices 5

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1801983317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14551 W INDIAN SCHOOL RD STE 240",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959283",
            "telephone_number": "623-535-7050",
            "fax_number": "623-535-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 W INDIAN SCHOOL RD STE 240",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959283",
            "telephone_number": "623-535-7050",
            "fax_number": "623-535-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROD",
        "first_name": "REZA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "38069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472458000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.