Active NPI
Mara L Hover, DO
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1861673501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4552
- Practice address
- 3807 N 7TH St
Phoenix, AZ 85014-5005 - Phone
- (602) 258-6797
- Fax
- (602) 248-8113
- NPI assigned
- Nov 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4552 | AZ | Primary |
Addresses
Primary practice location
3807 N 7TH St
Phoenix, AZ 85014-5005
Mailing address
3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400899 | Medicaid | AZ | |
| 4552 | Other | AZ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Valle del Sol, Inc. | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Valle del Sol, Inc. | Current | Accepting new patients | |
| Valle del Sol, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc | Past | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
3807 N 7th St
Phoenix, AZ 85014
3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1831344035
-
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1023311743
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1174345839
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1215734124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1861673501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3877 N 7TH ST STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145061",
"telephone_number": "602-258-6797",
"fax_number": "623-248-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145005",
"telephone_number": "602-258-6797",
"fax_number": "602-248-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVER",
"first_name": "MARA",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-23",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "4552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400899",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4552",
"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 21, 2025; 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.