Individual provider Active NPI

Rodames D Dedicatoria, MD

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1811973191
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80156 Issued in AZ
Practice address
28516 N El Mirage Rd Ste 105
Peoria, AZ 85383-2094
Phone
(480) 716-4928
Fax
(623) 401-9306
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80156 AZ Primary

Addresses

Primary practice location

28516 N El Mirage Rd Ste 105
Peoria, AZ 85383-2094

Mailing address

PO Box 24981
Belfast, ME 04915-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064676MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Aug 10, 2026 Accepting new patients
Nevada Health Centers, Inc Past Accepting new patients
Great Lakes Bay Health Centers PastSince Feb 10, 2004 Accepting new patients
Michigan Cardiovascular Institute, PC PastSince Aug 4, 2003 Accepting new patients

Locations

28516 N El Mirage Rd
Ste 105
Peoria, AZ 85383

Organizations & group practices 4

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1811973191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24981",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28516 N EL MIRAGE RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832094",
            "telephone_number": "480-716-4928",
            "fax_number": "623-401-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDICATORIA",
        "first_name": "RODAMES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "80156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.