Individual provider Active NPI

Ayman Fanous, M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1033148671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101222203 Issued in VA
Practice address
50 Irving St. NW
Washington, DC 20422
Phone
(202) 745-8000
Fax
(202) 745-8169
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101222203 VA Primary

Addresses

Primary practice location

50 Irving St. NW
Washington, DC 20422

Mailing address

50 Irving St. NW
Washington, DC 20422
Phone (202) 745-8000

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
I20230417000444 AZ Practitioner - Psychiatry 5395632970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2850
Phone (602) 839-4567

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Dec 13, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Dec 13, 2022 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients
MCV Associated Physicians Family Medicine PastSince Sep 28, 2021 Accepting new patients

Locations

1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050

1300 N 12th St
Ste 605
Phoenix, AZ 85006
Phone (602) 239-4567

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1111 E McDowell Rd
Ste B
Phoenix, AZ 85006
Phone (602) 346-0350

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033148671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 IRVING ST. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20422",
            "telephone_number": "202-745-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20422",
            "telephone_number": "202-745-8000",
            "fax_number": "202-745-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101222203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.