Active NPI
Rubina Raja, M.D.
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1811124530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PENDING
- Practice address
- 1301 S Crismon Rd
Mesa, AZ 85209-3767 - Phone
- (602) 467-4733
- NPI assigned
- Jun 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PENDING | AZ | Primary |
Addresses
Primary practice location
1301 S Crismon Rd
Mesa, AZ 85209-3767
Mailing address
13236 N 7TH St
Ste 4 PMB 305
Phoenix, AZ 85022-5343
Phone (602) 467-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447395 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | AZ | MD | Physician Assistant |
Interoperability endpoints
- raja.rubina.1@27165.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1811124530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13236 N 7TH ST",
"address_2": "STE 4 PMB 305",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225343",
"telephone_number": "602-467-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093767",
"telephone_number": "602-467-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJA",
"first_name": "RUBINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-20",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447395",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.