District Medical Group, Inc
NPI 1619200722 · Surgery Physician · Phoenix, AZ
Provider details
- NPI number
- 1619200722
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- District Medical Group, Inc
- Organization subpart
- Yes
- Authorized official
- Teresa Cordeiro, Credentialing Director(602) 470-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgical Critical Care Physician2086S0102X
Allopathic & Osteopathic Physicians
- Surgery of the Hand (Surgery) Physician2086S0105X
Allopathic & Osteopathic Physicians
- Pediatric Surgery Physician2086S0120X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Trauma Surgery Physician2086S0127X
Allopathic & Osteopathic Physicians
- Surgical Oncology Physician2086X0206X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2014-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.