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RISING MEDICAL GROUP PLLC
NPI 1972376283
General Practice in Glendale, AZ

Active since October 30, 2023CLIA 03D2325540 · Waiver
5325 W BUTLER DR, GLENDALE, AZ 85302(623) 931-7002 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rising Medical Group Pllc NPPES

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

RISING MEDICAL GROUP PLLC (NPI 1972376283) is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Nana Adu-amankwa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972376283
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRISING MEDICAL GROUP PLLC
Location Address5325 W BUTLER DRGlendale, AZ 85302-4854
Mailing Address14747 N Northsight BlvdScottsdale, AZ 85260-2631 · (520) 226-5977
Phone(623) 931-7002
Organization SubpartNo
Authorized OfficialNana Adu-amankwaMedical Director · (240) 750-0147
Enumeration DateOctober 30, 2023
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1972376283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
5325 W BUTLER DR, Glendale, AZ 85302
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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)

Rising Medical Group Pllc 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 Rising Medical Group PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nana Adu Amankwa, MD
General Practice
NPI 1972697837
9740 TRAVILLE GATEWAY DR
Rockville, MD 20850
(240) 499-8664
✔ PECOS✔ Accepts Medicare1,975 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2325540

Rising Medical Group PLLC · Glendale, AZ
Active · expires Jun 15, 2027
CLIA Number03D2325540
Laboratory TypeIndependent
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorNana A. Adu-Amankwa
Laboratory Phone(520) 226-5977
Laboratory LocationRising Medical Group PLLC5325 W Butler Dr, Glendale, AZ 85302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rising Medical Group PLLC's NPI number?

The NPI number for Rising Medical Group PLLC is 1972376283. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Rising Medical Group PLLC located?

Rising Medical Group PLLC is located at 5325 W Butler Dr, Glendale, AZ 85302. The listed phone number is (623) 931-7002.

What is Rising Medical Group PLLC's specialty?

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

Is Rising Medical Group PLLC enrolled in Medicare?

Yes. Rising Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rising Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Rising Medical Group PLLC. 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.

Does Rising Medical Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2325540) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rising Medical Group PLLC was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.