DAVID MEDINA M.D. NPI 1093764722

NPI Information

NPI: 1093764722
Provider Name: DAVID MEDINA, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
9323 E BAHIA DRIVE STE 200
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 562-6610
Get Directions

David Medina, M.D. is a vascular and interventional radiology radiology in Scottsdale, AZ. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. David Medina, M.D. NPI is 1093764722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9323 E BAHIA DRIVE STE 200
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 562-6610
Fax: (520) 463-4419

The NPI 1093764722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 12/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	21441	ARIZONA	No
2	2085P0229X	Radiology	Pediatric Radiology	21441	ARIZONA	No
3	2085R0202X	Radiology	Diagnostic Radiology	21441	ARIZONA	No
4	2085R0203X	Radiology	Therapeutic Radiology	21441	ARIZONA	No
5	2085U0001X	Radiology	Diagnostic Ultrasound	21441	ARIZONA	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	21441	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213330	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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