Aaron Randall Degroot, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4105 Issued in AZ

Practice address

1515 W Deer Valley Rd Ste B106
Phoenix, AZ 85027

Phone

(623) 248-4025

Fax

(602) 391-2617

NPI assigned

Nov 9, 2006

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Advanced Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Mesa, AZ
  • NPI 1124078431
  NPD
• Nextcare Urgent Care

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1831647122
  NPD (past)
• Northern Arizona Allergy Group LLC

  • Allergy Physician
  • Prescott, AZ
  • NPI 1922584812
  NPD (past)
• Premier Physicians Group, PLLC

  • Pain Clinic/Center
  • Mesa, AZ
  • NPI 1568643047
  NPD (past)
• Sun Valley Family Practice

  • Family Medicine Physician
  • Avondale, AZ
  • NPI 1265696447
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1841360484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W DEER VALLEY RD STE B106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272041",
            "telephone_number": "623-248-4025",
            "fax_number": "602-391-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W DEER VALLEY RD STE B106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-248-4025",
            "fax_number": "602-391-2617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26224 N Tatum Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507500",
            "country_code": "US",
            "telephone_number": "602-466-9664",
            "fax_number": "602-391-2617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3367 S Mercy Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977604",
            "country_code": "US",
            "telephone_number": "602-466-9664",
            "fax_number": "602-391-2617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16960 W Bell Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748946",
            "country_code": "US",
            "telephone_number": "602-466-9664",
            "fax_number": "602-391-2617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 W Deer Valley Rd Ste B106",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272041",
            "country_code": "US",
            "telephone_number": "623-248-4025",
            "fax_number": "602-391-2617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 N Navajo Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863148663",
            "country_code": "US",
            "telephone_number": "928-910-4424",
            "fax_number": "928-441-3573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "AARON",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AZ",
            "license": "4105",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z204694",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945462",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4105",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "accidentandinjurysolutions.com",
            "affiliation": "N",
            "endpointDescription": "accidentandinjurysolutions.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 W Deer Valley Rd Ste B106",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850272041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vinessa Degon, RN
• Chanelle Yvette Degraff, CNS
• Regina A Degraw, LCSW
• Traci Degraw
• Julie Anne Degregorio, CPNP-AC
• Mary M. Deguilio, MC, LPC
• John V Deguzman, MD
• Jose Q. Deguzman, MD
• Maria J Deguzman, M.D.
• Adella Deharo, NP

• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.