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NPI · 1205962792 · NPPES-sourced

Medcom Medical, LLC

ActiveFamily Medicine
NPI Number
1205962792
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(928) 425-6592
License AZ · 27758
Last Updated
Enumerated
Primary practice addressAZ · 85501
108 South Broad St.Globe, AZ 85501
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About this NPIWhat this record shows.

NPI 1205962792 is registered to Medcom Medical, LLC, a healthcare organisation classified as "Family Medicine" and located at 108 South Broad St. in Globe, Arizona. The organisation's authorised official is Oscar Andrade. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 4 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 4,449 Family Medicine providers on file in Arizona.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1225107667AZ· Issued by SHERIDA CARLSON PA NPI
  • 1871545905AZ· Issued by JEAN TURNEY-SHAW FPN NPI
  • 1275685521AZ· Issued by AZ NPI OSCAR ERNEST ANDRA

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Medcom Medical, LLC accepts. To confirm in-network status with your specific health plan, contact Medcom Medical, LLC directly at (928) 425-6592.

Frequently asked

Yes. NPI 1205962792 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 425-6592.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Medcom Medical, LLC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 4,449 Family Medicine providers are registered in Arizona, and Medcom Medical, LLC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Family Medicine providers in Arizona.

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