Individual provider Active NPI

Tanay J Amin, M.D.

  • Orthopaedic Hand Surgery Physician
  • Peoria, AZ
National Provider Identifier
1013170232
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
52850 Issued in AZ
Practice address
13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Phone
(623) 264-3300
Fax
(833) 913-2307
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 036.134352 IL
Orthopaedic Hand Surgery Physician 207XS0106X P6324 TX
Orthopaedic Hand Surgery Physician 207XS0106X 52850 AZ Primary

Addresses

Primary practice location

13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258

Mailing address

13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Phone (623) 264-3300

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
I20161014000447 AZ Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 1456577048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

13090 N 94TH Dr
Suite 204
Peoria, AZ 85381-4258
Phone (623) 264-3300

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866

Merit-based Incentive Payment System (MIPS)

Final score
94.72 of 100Reported as individual
Quality
92.58
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)30
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134352ILMDOrthopaedic Hand Surgery Physician
P6324TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Hand and Orthopedic Surgery PLLC Orthopaedic Surgery CurrentSince Mar 9, 2022 Accepting new patients
Midland Orthopedic Associates PLLC Orthopaedic Surgery PastSince Jan 9, 2024 Accepting new patients

Locations

13090 N 94th Dr
Ste 204
Peoria, AZ 85381
Phone (623) 264-3300

21001 N Tatum Blvd
Ste 1630
Phoenix, AZ 85050
Phone (408) 718-0568

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24960/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tanay.amin.1@24960.direct.athenahealth.com

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1013170232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 204",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "623-264-3300",
            "fax_number": "833-913-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 204",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "623-264-3300",
            "fax_number": "833-913-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "TANAY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036.134352",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "P6324",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AZ",
            "license": "52850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.