RAJ MAKADIA MD
NPI 1386086569
Family Medicine in El Mirage, AZ

Q: What is Raj Makadia's NPI number?

The NPI number for Raj Makadia is 1386086569. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Q: What is Raj Makadia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raj Makadia was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 29, 2013PECOS EnrolledAccepts Medicare Assignment

12428 W THUNDERBIRD RD, FAMILY MEDICINE, EL MIRAGE, AZ 85335(623) 344-6500(623) 344-6501 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Raj Makadia Md NPPES

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

RAJ MAKADIA MD (NPI 1386086569) is an individual family medicine provider in El Mirage, Arizona, licensed in Arizona (51596) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386086569

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAJ MAKADIACredential: MD

Location Address12428 W THUNDERBIRD RD, FAMILY MEDICINEEl Mirage, AZ 85335-3113

Mailing Address2929 E Thomas Rd, Family MedicinePhoenix, AZ 85016-8034 · (602) 470-5043 · Fax (602) 470-5064

Phone(623) 344-6500

Fax(623) 344-6501

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 29, 2013

Last NPPES UpdateJuly 12, 2016

✔ NPI 1386086569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 51596

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

12428 W THUNDERBIRD RD, El Mirage, AZ 85335

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raj Makadia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173816154

PECOS Enrollment IDI20160728001099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Raj Makadia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maricopa County Special Health Care District

11 mi

Adult Mental Health

950 E VAN BUREN ST
Avondale, AZ 85323

Reassigned Medicare billing, Arizona enrollment
285 clinicians in this Medicare group

NPI 1043679327 (602) 344-2520

District Medical Group, Inc

20 mi

Pulmonary Disease

2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1700119815 (602) 344-1095

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

102 services56 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDACE B ORTIZ

Occupational Therapist

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 399-6159

NICOLE OSOFSKY

Occupational Therapist

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 399-6159

ELIZABETH ANN ACHEY

Speech-Language Pathologist

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 399-6159

MADELINE GLASSER PA-C

Physician Assistant

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 344-6500

KIMYIA JAMISON

Occupational Therapist

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 399-6159

ALINA STANCA FNP

Nurse Practitioner (Family)

12428 W THUNDERBIRD RD, EL MIRAGE FAMILY HEALTH CENTER
EL MIRAGE, AZ 85335

Maricopa County (623) 344-6500

SHARI D. BERL D.O.

Family Medicine

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 344-6500

MARILYN DAUGHERTY SLP

Speech-Language Pathologist

12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335

Maricopa County (623) 399-6159

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 Raj Makadia's NPI number?

The NPI number for Raj Makadia is 1386086569. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Raj Makadia located?

Raj Makadia practices at 12428 W Thunderbird Rd Family Medicine, El Mirage, AZ 85335. The listed phone number is (623) 344-6500.

What is Raj Makadia's specialty?

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

Is Raj Makadia enrolled in Medicare?

Yes. Raj Makadia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Raj Makadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Makadia reassigns Medicare benefits to 2 organizations: Maricopa County Special Health Care District (Avondale, AZ) and District Medical Group, Inc (Phoenix, AZ). Each 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 Raj Makadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Makadia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Raj Makadia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raj Makadia was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.