Look up the most recent NPI and PECOS records

Maricopa Physicians Pllc

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Maricopa Physicians Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124599816
Provider Type
Organization
Full Name
Maricopa Physicians Pllc

Subpart
No
Enumeration Date
12/6/2018
Last Updated
12/23/2025

Contact Information

Practice Location

6250 N 19th Ave, Phoenix, AZ 85015-1565

(480) 821-9339

(480) 821-9555

Mailing Location

PO Box 39292, Phoenix, AZ 85069-9292

(480) 821-9339

(480) 821-9555

Authorized Official

Alrabadi, Fadi (Member)

(480) 821-9339

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 49923	Description Other	Issuer STATE LICENSE Arizona

Maricopa Physicians Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Geriatric Specialties Of Arizona Pc

Shashi Jain Goel Md Pc Inc

Hospitalist Medicine Physicians Of Arizona -Tcg, Inc.

Mahoubi, Ray R.

Sun Integrated Specialists

Millstein, Joshua A

Sink, Danielle

Pretlow, William Woods

Hospitalist Medicine Physicians Of Arizona - Phoenix, Inc.

Dubnow, Morton H