Ellsworth Medical Group LLC
NPI 1467928804ActiveOrganization· General Practice· Queen Creek, AZ
General Practice in Queen Creek, Arizona, registered in NPPES in October 2018. The authorized official on file is Radman Rahiminejad, Owner. Enrolled in Medicare as dme supplier - medical supply company and part b supplier - clinic/group practice.
Overview
| NPI | 1467928804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2018 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Medical Supply Company (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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