Ricardo La Grotta, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

70920 Issued in AZ

Practice address

3200 N Dobson Rd Ste B-1
Chandler, AZ 85224-9608

Phone

(602) 491-0703

Fax

(833) 464-2516

NPI assigned

Nov 4, 2021

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

Medicare fee-for-service enrollment

Enrolled in PR, AZ2 enrollments

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 2

Specialty

General Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
• Direct secure messaging: ricardo.la.grotta.1@24378.direct.athenahealth.com

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.

• Healthyu Family Medicine, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1669149787

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Emergency Physician Providers, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1245775089
  Medicare reassignment
• Cow Creek Band of Umpqua Tribe of Indians

  • Federally Qualified Health Center (FQHC)
  • Canyonville, OR
  • NPI 1134567993
  NPD
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  NPD (past)
• Platinum Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1285980052
  NPD (past)
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1851056873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "602-491-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD STE B-1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249608",
            "telephone_number": "602-491-0703",
            "fax_number": "833-464-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 S Val Vista Dr Ste C101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977318",
            "country_code": "US",
            "telephone_number": "602-491-0703",
            "fax_number": "833-644-5087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 E McKellips Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852039654",
            "country_code": "US",
            "telephone_number": "602-491-0703",
            "fax_number": "833-429-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Waterloo Street",
            "address_purpose": "LOCATION",
            "city": "Canyonville",
            "state": "OR",
            "postal_code": "97417",
            "country_code": "US",
            "telephone_number": "206-588-9526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2353 E Baseline Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342342",
            "country_code": "US",
            "telephone_number": "602-491-0703",
            "fax_number": "833-464-2519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carretera 129, Km 1.0 Avenida San Luis",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00613",
            "country_code": "US",
            "telephone_number": "787-650-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA GROTTA",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-01-02",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "70920",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christophe Kwizera
• Annie Kyger, PHARMD
• Mya Kyler
• L C Grissom and Associates PLLC
• L. Morse, DMD, P.C.
• La Laser Center PC, a Professional Medical Corporation
• La Laser Center PC, a Professional Medical Corporation
• La Maison Investors, LLC
• Samantha Rose Labuda, PA
• Jeffrey Evans Lace, MPT

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.