Active NPI
Kianoush Cheybani, M.D.
- Internal Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30615
- Practice address
- 9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4583 - Phone
- (480) 455-3000
- Fax
- (866) 819-6115
- NPI assigned
- Sep 9, 2005
- Last updated
- May 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30615 | AZ | Primary |
Addresses
Primary practice location
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4583
Mailing address
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4583
Phone (480) 455-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687634-01 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30615 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4C Medical Group PLC | Internal Medicine | Current | Accepting new patients |
| 4C Medical Group PLC | Current | Accepting new patients | |
| Aia Hospitalists LLC | Internal Medicine | Current | Accepting new patients |
Locations
330 S Pinnule Cir
Mesa, AZ 85206
Phone (480) 981-0687
4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alliance Hospitalists
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1831166230
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Center at Val Vista
- Skilled Nursing Facility
- Gilbert, AZ
- NPI 1952767774
Nursing home
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
-
- Community Based Hospice Care Agency
- Gold Canyon, AZ
- NPI 1104237502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464566400000",
"number": "1013901578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR",
"address_2": "STE 125",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584583",
"telephone_number": "480-455-3000",
"fax_number": "866-819-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR",
"address_2": "STE 125",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584583",
"telephone_number": "480-455-3000",
"fax_number": "866-819-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEYBANI",
"first_name": "KIANOUSH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2016-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "30615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687634-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.