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RAY ROAD MEDICAL GROUP LLC
NPI 1912498239
General Practice in Chandler, AZ

Active since May 22, 2018
1949 W RAY RD STE 23, CHANDLER, AZ 85224(480) 917-1720(480) 917-6934 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Oct 16, 2023, Oct 11, 2023 and 7 more (10 updates tracked since 2018).

About Ray Road Medical Group Llc NPPES

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

RAY ROAD MEDICAL GROUP LLC (NPI 1912498239) is a healthcare organization registered as a general practice in Chandler, Arizona and active in the NPI registry since May 2018. The organization lists Radman Rahiminejad, Owner, as its authorized official.

NPPES Registry Identity

NPI1912498239
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRAY ROAD MEDICAL GROUP LLC
Location Address1949 W RAY RD STE 23Chandler, AZ 85224-4008
Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (480) 926-7800 · Fax (480) 926-2260
Phone(480) 917-1720
Fax(480) 917-6934
Organization SubpartNo
Authorized OfficialRadman RahiminejadOwner · (480) 926-7800
Enumeration DateMay 22, 2018
Last NPPES UpdateOctober 6, 202510 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1912498239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1949 W RAY RD STE 23, Chandler, AZ 85224
Open in Google Maps ↗

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)

Ray Road Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ray Road Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Kymberli Tiller, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1932734746
1949 W RAY RD STE 23
Chandler, AZ 85224
(480) 917-1720
✔ PECOS✔ Accepts MedicareSame address
Justin Gomez, DC
Chiropractic
NPI 1689839672
1949 W RAY RD STE 23
Chandler, AZ 85224
(480) 917-1720
✔ Accepts MedicareSame address
Josefina Smith
Chiropractic
NPI 1336897164
1949 W RAY RD STE 23
Chandler, AZ 85224
(877) 222-5348
✔ Accepts MedicareSame address
Sonja Gerard, NP
Nurse Practitioner
NPI 1366719965
1855 E GUADALUPE RD STE 112
Tempe, AZ 85283
(480) 839-8552
✔ PECOS✔ Accepts Medicare3.7 mi
Walter Damper, D.O
Physical Medicine and Rehabilitation
NPI 1639309180
4881 E GRANT RD
Tucson, AZ 85712
(520) 318-6035
✔ PECOS✔ Accepts Medicare93 mi

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Ray Road Medical Group, LLC carries, from the Medicare DMEPOS supplier directory.

Ray Road Medical Group, LLC

DMEPOS supplier · Chandler, AZ
✔

Accepts Medicare assignment

Ray Road Medical Group, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20454161
Medicare Participant SinceJuly 31, 2018
Supplier Location1949 W Ray Rd Ste 23Chandler, AZ 85224
Phone(480) 917-1720
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Ray Road Medical Group LLC's NPI number?

The NPI number for Ray Road Medical Group LLC is 1912498239. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Ray Road Medical Group LLC located?

Ray Road Medical Group LLC is located at 1949 W Ray Rd Ste 23, Chandler, AZ 85224. The listed phone number is (480) 917-1720.

What is Ray Road Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ray Road Medical Group LLC enrolled in Medicare?

Yes. Ray Road Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ray Road Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Ray Road Medical Group LLC, in Chiropractic, Nurse Practitioner and Physical Medicine and Rehabilitation. 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ray Road Medical Group LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ray Road Medical Group, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Ray Road Medical Group LLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.