Active NPI
Ayesha Younas, M.D.
- Pediatrics Physician
- Chandler, AZ
National Provider Identifier
1063724748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 49625
- Practice address
- 2175 N Alma School Road
Ste C104
Chandler, AZ 85224-2879 - Phone
- (480) 222-6770
- Fax
- (480) 222-6771
- NPI assigned
- Jul 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 7782 | SD | |
| Pediatrics Physician | 208000000X | 49625 | AZ | Primary |
Addresses
Primary practice location
2175 N Alma School Road
Ste C104
Chandler, AZ 85224-2879
Mailing address
2175 N Alma School Rd Ste C104
Bethesda Pediatrics
Chandler, AZ 85224-2879
Phone (480) 222-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 947237 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 6, 2016 through May 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49625 | AZ | MD | Pediatrics Physician |
| 7782 | SD | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1063724748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 N ALMA SCHOOL RD STE C104",
"address_2": "BETHESDA PEDIATRICS",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242879",
"telephone_number": "480-222-6770",
"fax_number": "480-222-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 N ALMA SCHOOL ROAD",
"address_2": "STE C104",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242879",
"telephone_number": "480-222-6770",
"fax_number": "480-222-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNAS",
"first_name": "AYESHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "SD",
"license": "7782",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "49625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "947237",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.