Individual provider Active NPI

Sami Victor, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1023264587
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
44918 Issued in AZ
Practice address
4340 E Indian School Rd Ste 21-111
Phoenix, AZ 85018-5375
Phone
(623) 516-9319
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 44918 AZ Primary

Addresses

Primary practice location

4340 E Indian School Rd Ste 21-111
Phoenix, AZ 85018-5375

Mailing address

4340 E Indian School Rd Ste 21-111
Phoenix, AZ 85018-5375
Phone (623) 516-9319

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
I20120724000293 AZ Practitioner - Psychiatry 1153587977 Reassigns benefits to 4 organizations
Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ubh of Phoenix, LLCGroup PAC ID 4486782331, 7 clinicians

Practice addresses (Care Compare)

3550 E Pinchot Ave
Phoenix, AZ 85018-7434
Phone (602) 952-3900

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (480) 963-4561

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
72.84
Improvement activities
40
Cost
68.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionsaz, LLC CurrentSince Jun 15, 2015 Accepting new patients
Ubh of Phoenix LLC CurrentSince Jul 1, 2012 Accepting new patients
Connectionsaz, LLC CurrentSince Jun 15, 2015 Accepting new patients
Psychmd LLC Psychiatry CurrentSince Feb 21, 2013 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2012 Accepting new patients
Ubh of Phoenix LLC CurrentSince Jul 1, 2012 Accepting new patients
District Medical Group, Inc Psychiatry Past Accepting new patients

Locations

903 N 2nd St
Phoenix, AZ 85004
Phone (602) 253-5100

4340 E Indian School Rd
Ste 21111
Phoenix, AZ 85018
Phone (623) 516-9319

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3550 E Pinchot Ave
Phoenix, AZ 85018
Phone (602) 952-3900

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

Organizations & group practices 8

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1023264587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185375",
            "telephone_number": "623-516-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185375",
            "telephone_number": "623-516-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "SAMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "44918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.