Raul J Rodriguez-Sora, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

21047 Issued in AZ

Practice address

2075 S Cottonwood Dr
Tempe, AZ 85282-3040

Phone

(480) 718-0568

Fax

(520) 290-4881

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

PsychiatryAlso: Neuropsychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arise Community Solutions IncGroup PAC ID 9335527407, 3 clinicians

Arizona Total Care LLCGroup PAC ID 6800128539, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20.65 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

68.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arise Community Solutions Inc

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1801559141
  Medicare reassignment Care Compare group NPD
• Arizona Total Care LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1700433885
  Medicare reassignment Care Compare group NPD
• MD Homecare LLC

  • Health Service Psychologist
  • Phoenix, AZ
  • NPI 1720524333
  Medicare reassignment
• Acs Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
  • NPI 1023759073
  NPD (past)
• Arizona Total Care LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1255228433
  NPD (past)
• Darren J Hammergren LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1619165636
  NPD (past)
• Hofunity Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1497346837
  NPD (past)
• Lafrontera Center Inc

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1548361470
  NPD (past)
• Leaf and Stone PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1356030951
  NPD (past)
• Samantha Frembgen, D.O. PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1225667561
  NPD (past)
• U2Rworthit1 LLC

  • Primary Care Nurse Practitioner
  • Tucson, AZ
  • NPI 1265187900

  Neurology

  NPD (past)
• Umbrella Medical LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1861202335
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1811097538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 N 30TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174607",
            "telephone_number": "623-322-6143",
            "fax_number": "520-290-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-718-0568",
            "fax_number": "520-290-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7112 N 55th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853010707",
            "country_code": "US",
            "telephone_number": "602-842-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6612 E Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102119",
            "country_code": "US",
            "telephone_number": "520-207-1585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 E Pima St",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125601",
            "country_code": "US",
            "telephone_number": "520-750-1739",
            "fax_number": "520-290-4881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425 W Olive Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853023851",
            "country_code": "US",
            "telephone_number": "623-755-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-SORA",
        "first_name": "RAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2023-04-25",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "21047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Roden, MSW, LCSW
• Steven Rodenbostel, PHARMD
• Aleah Rodgers
• Yesenia Rodriguez Garcia
• Lizeth Rodriguez-Salazar
• Amber Rodriguez-Young
• Diana Rodriguez, LAC
• Isabella Rodriguez, RBT
• Ivana Rodriguez
• Kelly Rodriguez, PSY.D.

• Child & Adolescent Psychiatry Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.

Verify at the official NPI Registry.