Sam Saman Fereidouni, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37515 Issued in AZ

Practice address

7699 E Pinnacle Peak Rd
Suite 115
Scottsdale, AZ 85255-6322

Phone

(480) 300-4663

Fax

(480) 300-4888

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medcubed PLLCGroup PAC ID 9133349236, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisted Home Health Home health agency, Phoenix, AZ, CCN 037220
• Amedisys Home Health Care Home health agency, Phoenix, AZ, CCN 037106
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• NM HMO C-SNP

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/Y62ncCuwN85GGa7s0iz44XRnQoc9qr60/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medcubed PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1366854861
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Assisted Home Recovery, Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1508313255
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation
• Tender Loving Care Health Care Services Western, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1013961267
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1003007048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREIDOUNI",
        "first_name": "SAM",
        "middle_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0066324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Fennell, MB BCH BAO
• Evelyn Fennelly, MD
• Amaris Feno, R.D.
• Alexandra Lynn Fenske
• Gelila Fente
• Rachel Rose Ference, DNP, CRNA
• Rebecca Breshin Ference, AU.D
• Andrea Ferenczi, MD
• Kelsea Ferentheil
• Susan L Fergus, SLP

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.