Goodyear Medical Group LLC
General Practice in Goodyear, AZ. Organization (NPI-2).
NPI number1376199018
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1376199018
- Entity type
- Organization (NPI-2)
- Legal business name
- Goodyear Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2019
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
3301 N Litchfield Rd Ste 200Goodyear, AZ 85395-3197
Phone 623-935-2929
Mailing address
Po Box 6610Chandler, AZ 85246-6610
Phone 480-926-7800 · Fax 480-926-2260
Authorized official
Radman Rahiminejad
Owner
4809267800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Physician providers in Goodyear, AZ
- Bfgy Medical Group LLCNPI 1033912217
- Estrella Pkwy Medical CenterNPI 1487920104
- Kevin John Haselhorst, MDNPI 1831170935
- Linda-Michelle Ledesma, D.O.NPI 1801181581
- Litchfield Medical Group LLCNPI 1881241198
- Samuel Ponce Nandin, M.D.NPI 1124180054
- Pkwy Medical Center LLCNPI 1588158349
- Jamila Rahmaan-Colder, DO, MSNPI 1427686625
- Wv Medical Group LLCNPI 1962059279
All 10 General Practice Physician providers in Goodyear · All 2,263 providers in Goodyear
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.