NPIMap

Organization Active NPI

Desert Stream Urology

  • Urology Physician
  • Scottsdale, AZ
National Provider Identifier
1043091978
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DESERT STREAM UROLOGY
Practice address
8118 E Mulberry St
Scottsdale, AZ 85251-5871
Phone
(714) 546-1121
NPI assigned
Oct 6, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Khaled Fareed, MDNPI 1487671368
Title
Ceo
Phone
(216) 375-5223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

8118 E Mulberry St
Scottsdale, AZ 85251-5871

Mailing address

8118 E Mulberry St
Scottsdale, AZ 85251-5871

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1043091978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 E MULBERRY ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 E MULBERRY ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515871",
            "telephone_number": "714-546-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT STREAM UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "FAREED",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-375-5223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.