DR. RAUL RODELAS (NPI# 1891798443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891798443 |
| Entity Type | Individual |
| Full Name | DR. RAUL RODELAS |
| Credential | M.D. |
| Practice Address |
13090 N 94th Dr Ste 210 Peoria AZ 85381-4256 |
| Mailing Address |
7114 N 23rd Pl Phoenix AZ 85020-5657 |
| Practice Telephone | 6239741763 |
| Practice Fax Number | 6239722038 |
| Mailing Telephone | 6023951067 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
10719 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 219289 | 05 |
| Street Address |
13090 N 94TH DR STE 210 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162201 | Martin Lloyd Johnson | Plastic Surgery | 13090 N 94th Dr, Suite 101, Peoria, AZ 85381-4256 | 2005-05-24 |
| 1235571761 | Sun Imaging Associates Plc | Radiology | 13090 N 94th Dr, Suite 103, Peoria, AZ 85381-4256 | 2013-07-25 |
| 1184973018 | Nca Holdings of Arizona, LLC | Neuromusculoskeletal Medicine & OMM | 13090 N 94th Dr, Suite 101, Peoria, AZ 85381-4256 | 2012-09-06 |
| 1629226816 | Wellness Today Medical Clinic, Inc. | Internal Medicine | 13090 N 94th Dr, # 204, Peoria, AZ 85381-4256 | 2008-09-03 |
| 1366621278 | Catherine Anne Fisher | Family Medicine | 13090 N 94th Dr, Peoria, AZ 85381-4256 | 2007-10-26 |
| 1164611596 | Akdhc, LLC | Internal Medicine | 13090 N 94th Dr, Ste 210, Peoria, AZ 85381-4257 | 2007-10-22 |
| 1871610030 | Lakeview Lab | Clinical Medical Laboratory | 13090 N 94th Dr, Peoria, AZ 85381-4256 | 2007-03-23 |
| 1578615977 | Fisher Medical Group | Family Medicine | 13090 N 94th Dr, 200, Peoria, AZ 85381-4256 | 2007-01-17 |
| 1083703938 | Breastnet Screening LLC | Radiology | 13090 N 94th Dr, 102, Peoria, AZ 85381-4256 | 2006-10-11 |
| 1710966239 | Deborah L Baldemor | Family Medicine | 13090 N 94th Dr, Suite 101, Peoria, AZ 85381-4256 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215388855 | Akdhc, LLC-phoenix Access Center 1 | Internal Medicine | 9125 W Thunderbird Rd Ste 105, Peoria, AZ 85381-4921 | 2016-06-24 |
| 1952353633 | Asan M. Ariff Md, PC | Internal Medicine | 13943 N 91st Avenue, Ste H100, Peoria, AZ 85381-3689 | 2006-05-17 |
| 1861486607 | Gurdev Singh | Internal Medicine | 7362 W Thunderbird Road, Peoria, AZ 85381 | 2005-09-08 |
| 1215921135 | Richard P Flick | Internal Medicine | 7362 W Thunderbird Rd, Peoria, AZ 85381 | 2005-09-07 |
| 1023002946 | Mandip S Kang | Internal Medicine | 7362 W. Thunderbird Road, Peoria, AZ 85381 | 2005-09-07 |
| 1932514387 | Kidney Care Center Bloomington LLC | Internal Medicine | 719 Main St, Peoria, IL 61602-1083 | 2014-06-24 |
| 1629344064 | David Edward Houser | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2012-03-29 |
| 1730479296 | Roy Kent Bryan | Internal Medicine | 200 E Pennsylvania Ave, Suite 212, Peoria, IL 61603-3089 | 2011-04-18 |
| 1609010883 | Amer Khan | Internal Medicine | 13943 N 91st Ave, Ste H101, Peoria, AZ 85381-3689 | 2009-05-01 |
| 1538325477 | Raji Jacob | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2008-07-30 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.