Individual provider Active NPI

Robert H Page, MD

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1851398069
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7689 Issued in AZ
Practice address
5030 S Mill Ave
Ste D-12
Tempe, AZ 85282-6833
Phone
(480) 894-2823
Fax
(480) 756-6663
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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 7689 AZ Primary

Addresses

Primary practice location

5030 S Mill Ave
Ste D-12
Tempe, AZ 85282-6833

Mailing address

5030 S Mill Ave
Ste D12
Tempe, AZ 85282-6849
Phone (480) 894-2823

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060109000877 AZ Practitioner - Family Practice 4688650112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Premier Medical Group LLCGroup PAC ID 9335132604, 14 clinicians

Practice addresses (Care Compare)

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

5030 S Mill Ave
Suite D12
Tempe, AZ 85282-6849
Phone (480) 894-2823

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7689AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group, LLC Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Ana M Sierra de Aragon MD Past Accepting new patients

Locations

3303 E Baseline Rd
Ste 203
Gilbert, AZ 85234
Phone (480) 300-5388

5005 S Ash Ave
Ste A-2
Tempe, AZ 85282
Phone (602) 833-6585

5030 S Mill Ave
Ste D12
Tempe, AZ 85282
Phone (480) 894-2823

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1851398069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE",
            "address_2": "STE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826849",
            "telephone_number": "480-894-2823",
            "fax_number": "480-756-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE",
            "address_2": "STE D-12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826833",
            "telephone_number": "480-894-2823",
            "fax_number": "480-756-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.