NPIMap

Individual provider Active NPI

Raul Fernando Garcia Maya, MD

  • Nephrology Physician
  • Casa Grande, AZ
National Provider Identifier
1962023440
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
75280 Issued in AZ
Practice address
1828 E Florence Blvd
BLDG C, Ste 142
Casa Grande, AZ 85122-4783
Phone
(480) 834-9039
Fax
(520) 876-5261
NPI assigned
May 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 75280 AZ Primary

Addresses

Primary practice location

1828 E Florence Blvd
BLDG C, Ste 142
Casa Grande, AZ 85122-4783

Mailing address

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250527001382 AZ Practitioner - Nephrology 4880113570 Reassigns benefits to 2 organizations
I20260113003960 TX Practitioner - Family Practice 4880113570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gila River Health Care CorporationGroup PAC ID 0648174185, 245 clinicians
Desert Kidney Associates PLCGroup PAC ID 4284611286, 27 clinicians

Practice addresses (Care Compare)

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Hospital & facility affiliations

  • 032561 Casa Grande Dialysis (FMC) Dialysis facility, Casa Grande, AZ, CCN 032561
  • 032599 Ahwatukee Dialysis (FMC) Dialysis facility, Phoenix, AZ, CCN 032599
  • 032633 Santan Dialysis (FMC) Dialysis facility, Florence, AZ, CCN 032633
  • 032539 Mesa Dialysis Center (FMC) Dialysis facility, Gilbert, AZ, CCN 032539
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75280AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Kidney Associates PLC Nephrology CurrentSince Jul 1, 2025 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Dec 6, 2025 Accepting new patients
Gila River Health Care CurrentSince Dec 6, 2025 Accepting new patients

Locations

1828 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6738

1828 E Florence Blvd
Ste C142
Casa Grande, AZ 85122

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 142
Casa Grande, AZ 85122
Phone (520) 836-9642

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170

Interoperability endpoints

  • Direct secure messaging: rgarcia81438@direct.acumenmd.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1962023440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "BLDG C, STE 142",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224783",
            "telephone_number": "480-834-9039",
            "fax_number": "520-876-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MAYA",
        "first_name": "RAUL",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-05-09",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "75280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.