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PHOENIX HEALTH PRACTITIONERS LLC
NPI 1205525839
Family Medicine in Phoenix, AZ

Active since May 01, 2023
4222 N 12TH ST STE 200, PHOENIX, AZ 85014(602) 795-9223(602) 795-9728 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2024, Oct 30, 2023, Jul 21, 2023 and 3 more (6 updates tracked since 2023).

About Phoenix Health Practitioners Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HEALTH PRACTITIONERS LLC (NPI 1205525839) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since May 2023. The organization lists Nehemiah Abuga, Owner, as its authorized official.

NPPES Registry Identity

NPI1205525839
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX HEALTH PRACTITIONERS LLC
Location Address4222 N 12TH ST STE 200Phoenix, AZ 85014-6024
Mailing Address12474 W Forest Pleasant PlPeoria, AZ 85383-5666 · (602) 795-9223 · Fax (602) 795-9728
Phone(602) 795-9223
Fax(602) 795-9728
Organization SubpartNo
Authorized OfficialNehemiah AbugaOwner · (480) 450-5020
Enumeration DateMay 1, 2023
Last NPPES UpdateMay 3, 20246 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1205525839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4222 N 12TH ST STE 200, Phoenix, AZ 85014
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Health Practitioners Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Phoenix Health Practitioners LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jaimie Lukose, NP
Nurse Practitioner
NPI 1457129819
4222 N 12TH ST STE 200
Phoenix, AZ 85014
(602) 795-9223
✔ PECOSSame address
Tirsa Quartullo, CFNP
Nurse Practitioner
NPI 1467455477
3104 E INDIAN SCHOOL RD STE 100
Phoenix, AZ 85016
(480) 590-6600
✔ PECOS✔ Accepts Medicare2.4 mi
Alice Mwanza, NP
Nurse Practitioner
NPI 1982390167
9200 N CENTRAL AVE STE 3
Phoenix, AZ 85020
(602) 943-9494
✔ PECOS✔ Accepts Medicare5.1 mi
Eric Ogari, FNP
Nurse Practitioner
NPI 1316420631
16430 W YUMA RD
Goodyear, AZ 85338
(623) 465-6405
✔ PECOS21 mi
Caroline Ombuna, FNP-C
Nurse Practitioner
NPI 1902558893
831 S COTTON LN # F7-8
Goodyear, AZ 85338
(480) 677-8282
✔ PECOS✔ Accepts Medicare22 mi
Caroline Nyakweba, FNP
Nurse Practitioner
NPI 1407334303
287 E HUNT HWY STE 105
San Tan Valley, AZ 85143
(480) 677-8282
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Health Practitioners LLC's NPI number?

The NPI number for Phoenix Health Practitioners LLC is 1205525839. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Phoenix Health Practitioners LLC located?

Phoenix Health Practitioners LLC is located at 4222 N 12th St Ste 200, Phoenix, AZ 85014. The listed phone number is (602) 795-9223.

What is Phoenix Health Practitioners LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phoenix Health Practitioners LLC enrolled in Medicare?

Yes. Phoenix Health Practitioners LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Health Practitioners LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Phoenix Health Practitioners LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phoenix Health Practitioners LLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.