Organization Active NPI

Arizona Retina Associates, PLLC

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1891241964
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
48939 Issued in AZ
Legal business name
ARIZONA RETINA ASSOCIATES, PLLC
Practice address
6262 E Broadway Rd Ste 106
Mesa, AZ 85206-6101
Phone
(480) 482-7100
Fax
(480) 566-0280
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Hobbs, M.D.NPI 1194986786
Title
Physician/Owner
Phone
(480) 482-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 48939 AZ Primary

Addresses

Primary practice location

6262 E Broadway Rd Ste 106
Mesa, AZ 85206-6101

Mailing address

2242 E Glencove St
Mesa, AZ 85213-4613
Phone (480) 482-7100

Other practice location 1

140 S Power Rd Ste 105
Mesa, AZ 85206-5297
Phone (480) 482-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170112002825 AZ Part B Supplier - Clinic/Group Practice 4082996715 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

6262 E Broadway Rd
Ste 106
Mesa, AZ 85206
Phone (480) 482-7100

Interoperability endpoints

  • Direct secure messaging: rhobbs@ara.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1891241964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 E GLENCOVE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134613",
            "telephone_number": "480-482-7100",
            "fax_number": "480-566-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 E BROADWAY RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066101",
            "telephone_number": "480-482-7100",
            "fax_number": "480-566-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S Power Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852065297",
            "country_code": "US",
            "telephone_number": "480-482-7100",
            "fax_number": "480-566-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA RETINA ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "480-482-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "48939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.