PREMIER WOUND CARE AZ LLC
NPI 1710789227
Family Medicine in Phoenix, AZ

Active since March 25, 2025
2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ 85016(602) 840-0056 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Wound Care Az Llc NPPES

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

PREMIER WOUND CARE AZ LLC (NPI 1710789227) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since March 2025. The organization lists Radman Rahiminejad, Owner, as its authorized official.

NPPES Registry Identity

NPI1710789227
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER WOUND CARE AZ LLC
Location Address2836 E INDIAN SCHOOL RD STE A8Phoenix, AZ 85016-6864
Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (809) 262-2604
Organization SubpartNo
Authorized OfficialRadman RahiminejadOwner · (480) 926-7800
Enumeration DateMarch 25, 2025
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1710789227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedNurse PractitionerTaxonomy 363L00000X
2836 E INDIAN SCHOOL RD STE A8, Phoenix, AZ 85016

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)

Premier Wound Care Az Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Wound Care Az LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1184123788
15749 W VERNON AVE
Goodyear, AZ 85395
(602) 810-5178
✔ PECOS✔ Accepts Medicare22 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 Premier Wound Care Az LLC's NPI number?

The NPI number for Premier Wound Care Az LLC is 1710789227. It was assigned to this organization in the NPPES registry on March 25, 2025.

Where is Premier Wound Care Az LLC located?

Premier Wound Care Az LLC is located at 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016. The listed phone number is (602) 840-0056.

What is Premier Wound Care Az LLC's specialty?

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

Is Premier Wound Care Az LLC enrolled in Medicare?

Yes. Premier Wound Care Az LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Wound Care Az LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premier Wound Care Az 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Wound Care Az LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.