NPIMap

Organization Active NPI

VHS Outpatient Clinics, Inc.

Doing business as Abrazo Medical Group

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1912979964
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VHS OUTPATIENT CLINICS, INC.
Doing business as
Abrazo Medical Group
Practice address
1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215
Phone
(623) 242-1231
Fax
(623) 242-1232
NPI assigned
Feb 3, 2006
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Brian Rasmus
Title
VP, Cfo TPR
Phone
(469) 893-2532

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Hospitalist Physician 208M00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215

Mailing address

PO Box 18892
Belfast, ME 04915-4083
Phone (888) 402-7256

Other names 1

  • Abrazo Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000523 AZ Part B Supplier - Clinic/Group Practice 4486566726 Receives reassigned benefits from 332 practitioners

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

21250 W Roosevelt St
Ste 306
Buckeye, AZ 85326
Phone (480) 420-0749

2680 S Val Vista Dr
Ste 116
Gilbert, AZ 85295
Phone (480) 253-5674

2680 S Val Vista Dr
Ste 132
Gilbert, AZ 85295
Phone (480) 253-5618

18185 N 83rd Ave
Ste 107
Glendale, AZ 85308
Phone (623) 583-0306

18185 N 83rd Ave
Ste D107
Glendale, AZ 85308
Phone (623) 583-0306

18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (602) 841-0741

5112 W Olive Ave
Ste C113
Glendale, AZ 85302
Phone (623) 934-9267

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577

1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

3815 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (480) 454-7350

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

4524 N Maryvale Pkwy
Phoenix, AZ 85031
Phone (602) 529-1016

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

6950 E Chauncey Ln
Phoenix, AZ 85054
Phone (623) 873-8565

8620 N 22nd Ave
Ste 200
Phoenix, AZ 85021
Phone (602) 674-6501

6565 E Greenway Pkwy
Ste 100
Scottsdale, AZ 85254
Phone (480) 348-3200

6565 E Greenway Pkwy
Ste 100A
Scottsdale, AZ 85254
Phone (480) 348-3200

9075 E Horseshoe Rd
Scottsdale, AZ 85258

Practitioners & affiliated clinicians

Practitioners 377

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 377

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1912979964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18892",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154083",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 125",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951215",
            "telephone_number": "623-242-1231",
            "fax_number": "623-242-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS OUTPATIENT CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TPR",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abrazo Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.