Active NPI
Melody Medawar Rodarte, D.O.
- Internal Medicine Physician
- Gilbert, AZ
National Provider Identifier
1871562876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4047
- Practice address
- 1485 S Higley Rd Ste 104
Gilbert, AZ 85296-4786 - Phone
- (480) 571-1000
- Fax
- (888) 366-1988
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4047 | AZ | Primary |
Addresses
Primary practice location
1485 S Higley Rd Ste 104
Gilbert, AZ 85296-4786
Mailing address
1485 S Higley Rd Ste 104
Gilbert, AZ 85296-4786
Phone (480) 571-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 940834 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 6, 2012 through Sep 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4047 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Specialty Physicians | Past | Accepting new patients | |
| Louis George Greco MD PC | Internal Medicine | Past | Accepting new patients |
| Advent Internal Medicine PLLC | Internal Medicine | 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
- Mesa, AZ
- NPI 1235579061
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1922049634
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1841209186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1871562876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 S HIGLEY RD STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964786",
"telephone_number": "480-571-1000",
"fax_number": "888-366-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 S HIGLEY RD STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964786",
"telephone_number": "480-571-1000",
"fax_number": "888-366-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODARTE",
"first_name": "MELODY",
"middle_name": "MEDAWAR",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "4047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "940834",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.