Active NPI
Ricardo G. Celaya, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1861476095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29615
- Practice address
- 1533 E Willetta St
Phoenix, AZ 85006 - Phone
- (602) 569-3999
- Fax
- (602) 569-3887
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 | 29615 | AZ | Primary |
Addresses
Primary practice location
1533 E Willetta St
Phoenix, AZ 85006
Mailing address
1533 E Willetta St
Phoenix, AZ 85006-2935
Phone (602) 569-3999
Other practice location 1
13402 N 32nd St
Suite #5
Phoenix, AZ 85032-6047
Phone (602) 569-3999
Other practice location 2
1315 W Southern Ave
Tempe, AZ 85282-4519
Phone (602) 569-3999
Other practice location 3
7734 N 59th Ave
Glendale, AZ 85301-7816
Phone (602) 569-3999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0894980 | Other | AZ | BLUE CROSS/BLUE SHIELD PI |
| 616245 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7734 N 59TH Ave
Glendale, AZ 85301-7816
Phone (602) 569-3999
Hospital & facility affiliations
- Banner Home Care-Arizona
- Grace Home Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Dr Alfonso Salas PC | Past | Accepting new patients | |
| Desert Kidney Associates PLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1780668921
-
- General Practice Physician
- Glendale, AZ
- NPI 1265692792
-
- Nephrology Physician
- Mesa, AZ
- NPI 1144372905
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sun City, AZ
- NPI 1023051927
-
- Home Health Agency
- Mesa, AZ
- NPI 1881826766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1861476095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 E WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062935",
"telephone_number": "602-569-3999",
"fax_number": "602-569-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 E WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-569-3999",
"fax_number": "602-569-3887"
}
],
"practiceLocations": [
{
"address_1": "13402 N 32nd St",
"address_2": "Suite #5",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850326047",
"country_code": "US",
"telephone_number": "602-569-3999",
"fax_number": "602-569-3887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1315 W Southern Ave",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852824519",
"country_code": "US",
"telephone_number": "602-569-3999",
"fax_number": "602-569-3887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7734 N 59th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853017816",
"country_code": "US",
"telephone_number": "602-569-3999",
"fax_number": "602-569-3887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CELAYA",
"first_name": "RICARDO",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "29615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD PI",
"identifier": "AZ0894980",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "616245",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.