Individual provider Active NPI

MHD Majed Abdul Wahab

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1083237523
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT220762 Issued in PA
Practice address
7362 W Thunderbird Rd Ste 101
Peoria, AZ 85381-5028
Phone
(480) 610-6100
NPI assigned
May 19, 2020
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MT220762 PA Primary
Nephrology Physician 207RN0300X 76643 AZ

Addresses

Primary practice location

7362 W Thunderbird Rd Ste 101
Peoria, AZ 85381-5028

Mailing address

7362 W Thunderbird Rd Ste 101
Peoria, AZ 85381-5028

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mabdulwahab174184@phsdirect.pinnaclehealth.org

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
I20250725003807 AZ Practitioner - Internal Medicine 1951818855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

14620 W Encanto Blvd
Suite 100
Goodyear, AZ 85395-1616
Phone (480) 610-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT220762PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Jul 25, 2025 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Jul 25, 2025 Accepting new patients

Locations

14620 W Encanto Blvd
Ste 100
Goodyear, AZ 85395

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

Interoperability endpoints

  • Direct secure messaging: mabdulwahab174184@phsdirect.pinnaclehealth.org
  • Direct secure messaging: mhd.majed.abdul.wahab.1@2697.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1083237523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815028",
            "telephone_number": "480-610-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL WAHAB",
        "first_name": "MHD MAJED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT220762",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "76643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mabdulwahab174184@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "205 S Front St Ste 3C",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.