DR. CUAUHTEMOC GALLARDO-PRADO M.D.
NPI 1700116605
Family Medicine in Mesa, AZ

Q: What is Cuauhtemoc Gallardo-prado's NPI number?

The NPI number for Cuauhtemoc Gallardo-prado is 1700116605. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Q: What is Cuauhtemoc Gallardo-prado's specialty?

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

Active since December 28, 2009PECOS Enrolled

1060 E SOUTHERN AVE STE 106, MESA, AZ 85204(480) 870-7400(480) 906-2174 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Aug 1, 2022, Sep 21, 2016 (3 updates tracked since 2016).

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About Dr. Cuauhtemoc Gallardo-prado M.d. NPPES

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

DR. CUAUHTEMOC GALLARDO-PRADO M.D. (NPI 1700116605) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (67041) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1700116605

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CUAUHTEMOC GALLARDO-PRADOCredential: M.D.

Location Address1060 E SOUTHERN AVE STE 106Mesa, AZ 85204-5058

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250

Phone(480) 870-7400

Fax(480) 906-2174

Sole ProprietorYes

Enumeration DateDecember 28, 2009

Last NPPES UpdateMay 23, 20253 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1700116605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 67041

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 ListedSurgeryTaxonomy 208600000X · License R71439 (AZ)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 67041 (AZ)

1060 E SOUTHERN AVE STE 106, Mesa, AZ 85204

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Secondary Practice Location 1

Location 13140 N 35th Ave Ste 7Phoenix, AZ 85017-5270 · Phone (023) 536-6566 · Fax (602) 442-2065

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cuauhtemoc Gallardo-prado M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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 5

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

MICHAEL JAMES PORTER PA-C

Physician Assistant (Medical)