MARA DANIELLE IMMEDIATO PA-C
NPI 1538410071
Physician Assistant - Surgical in Tempe, AZ

Q: What is Mara Immediato's NPI number?

The NPI number for Mara Immediato is 1538410071. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Q: What is Mara Immediato's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mara Immediato was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 24, 2012PECOS EnrolledAccepts Medicare Assignment

82.94/100

CMS Quality Rating

1255 W RIO SALADO PKWY STE 107, TEMPE, AZ 85281(480) 962-0071(480) 962-0590 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mara Danielle Immediato Pa-c NPPES

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

MARA DANIELLE IMMEDIATO PA-C (NPI 1538410071) is an individual surgical provider in Tempe, Arizona, licensed in Arizona (5195) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1538410071

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMARA DANIELLE IMMEDIATOCredential: PA-C

Location Address1255 W RIO SALADO PKWY STE 107Tempe, AZ 85281-2892

Mailing Address1255 W Rio Salado Pkwy Ste 107Tempe, AZ 85281-2892 · (480) 962-0071 · Fax (480) 962-0590

Phone(480) 962-0071

Fax(480) 962-0590

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 24, 2012

Last NPPES UpdateFebruary 4, 2019

✔ NPI 1538410071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 5195

1255 W RIO SALADO PKWY STE 107, Tempe, AZ 85281

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mara Danielle Immediato Pa-c 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 ID4385896695

PECOS Enrollment IDI20211221002342

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.

Areas of Expertise CMS Part B claims 8

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.

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

161 services126 patients

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.

131 services106 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

117 services98 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

49 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

25 services19 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.06

Promoting Interoperability

Improvement Activities

Cost

66.41

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Other Providers at the Same Location NPPES 10

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

MRS. VANESSA RENE FISHER PA-C

Physician Assistant (Surgical)