Individual provider Active NPI

Sharam Danesh, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1003808809
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32803 Issued in AZ
Practice address
4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050
Phone
(602) 368-3448
Fax
(602) 357-3323
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32803 AZ Primary

Addresses

Primary practice location

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050

Mailing address

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

Other identifiers 1

IdentifierTypeStateIssuer
P00179455OtherAZRAILROAD MEDICARE

Other names 1

  • Hossein Daneshuar Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040818000121 AZ Practitioner - Ophthalmology 0941273965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Ria LLCGroup PAC ID 1557543501, 6 clinicians

Practice addresses (Care Compare)

4045 E Union Hills Dr
Suite 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Ria LLC Ophthalmology CurrentSince Feb 1, 2011 Accepting new patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. CurrentSince Apr 5, 2016 Accepting new patients

Locations

9185 W Thunderbird Rd
Ste C104
Peoria, AZ 85381

13460 N 94th Dr
Ste L1
Peoria, AZ 85381
Phone (623) 522-8687

3811 E Bell Rd
Ste 106
Phoenix, AZ 85032
Phone (602) 368-3448

4045 E Union Hills Dr
Ste 115
Phoenix, AZ 85050
Phone (602) 368-3448

1102 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 665-6900

8144 E Cactus Rd
Ste 800
Scottsdale, AZ 85260
Phone (480) 307-9171

13920 W Camino del Sol
Ste 5
Sun City West, AZ 85375

Interoperability endpoints

  • Direct secure messaging: sdanesh@pra.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1003808809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "SHARAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "32803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00179455",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOSSEIN",
            "last_name": "DANESHUAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.