Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raul Ivan Medina Sicre, MD

Individual provider Family Medicine Physician · NPI 1649685652

Raul Ivan Medina Sicre, MD is a Family Practice in Phoenix, Arizona. Qualified in 2009, 17 years ago. Practices with Oak Street Health Physicians Group of Arizona PLLC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
17
Licensed in
AZ, IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1940 W Indian School Rd Ste 1
Phoenix, AZ 85015-5112
Phone: (602) 782-1880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6220 W Bell Rd Ste 100, Glendale, AZ 85308-3896 — (602) 547-7300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 58428 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125064345 (IL)

Record details

NPI number1649685652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Oak Street Health Physicians Group Of Arizona Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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