RAUL IVAN MEDINA SICRE M.D.
NPI 1649685652
Family Medicine in Phoenix, AZ

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
1940 W INDIAN SCHOOL RD STE 1, PHOENIX, AZ 85015(602) 782-1880 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Jul 13, 2020 (2 updates tracked since 2020).

About Raul Ivan Medina Sicre M.d. NPPES

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

RAUL IVAN MEDINA SICRE M.D. (NPI 1649685652) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (58428) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649685652
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAUL IVAN MEDINA SICRECredential: M.D.
Location Address1940 W INDIAN SCHOOL RD STE 1Phoenix, AZ 85015-5112
Mailing AddressPo Box 746093Atlanta, GA 30374-6093 · (312) 733-9730
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 27, 2014
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1649685652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in AZ · 58428 Licensed in IL · 125064345
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.
1940 W INDIAN SCHOOL RD STE 1, Phoenix, AZ 85015

Secondary Practice Location 1

Location 16220 W Bell Rd Ste 100Glendale, AZ 85308-3896 · Phone (602) 547-7300 · Fax (602) 547-7301

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

Raul Ivan Medina Sicre M.d. 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 ID446525968
PECOS Enrollment IDI20200728000253
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 18

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 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.
158 services73 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
64 services41 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
55 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services35 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
46 services35 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
39 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85015 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 2

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

Internal Medicine
1940 W INDIAN SCHOOL RD STE 1
PHOENIX, AZ 85015
Internal Medicine
1940 W INDIAN SCHOOL RD STE 1
PHOENIX, AZ 85015

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 Raul Medina Sicre's NPI number?

The NPI number for Raul Medina Sicre is 1649685652. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Raul Medina Sicre located?

Raul Medina Sicre practices at 1940 W Indian School Rd Ste 1, Phoenix, AZ 85015. The listed phone number is (602) 782-1880.

What is Raul Medina Sicre's specialty?

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

Is Raul Medina Sicre enrolled in Medicare?

Yes. Raul Medina Sicre 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.

When was this NPI record last updated?

The NPPES record for Raul Medina Sicre was last updated on June 5, 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.