Individual provider Active NPI

Muttaa Masalkhi, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1093711632
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27532 Issued in AZ
Practice address
4441 E McDowell Rd
Ste 101
Phoenix, AZ 85008-4503
Phone
(602) 273-6770
Fax
(602) 889-0489
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27532 AZ Primary

Addresses

Primary practice location

4441 E McDowell Rd
Ste 101
Phoenix, AZ 85008-4503

Mailing address

PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770

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
I20031231000758 AZ Practitioner - Anesthesiology 1456250174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians

Practice addresses (Care Compare)

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27532AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince Apr 15, 2023 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Sunrise Ambulatory Surgical Center LLC Past Accepting new patients
City of Hope Medical Group of Arizona LLC Anesthesiology PastSince Nov 1, 2008 Accepting new patients
Arizona Diagnostic & Surgical Center, Inc Past Accepting new patients

Locations

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

20950 N Tatum Blvd
Ste 170
Phoenix, AZ 85050
Phone (480) 991-6877

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

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

17500 N Perimeter Dr
Scottsdale, AZ 85255
Phone (480) 535-6300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

Organizations & group practices 7

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1093711632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 E MCDOWELL RD",
            "address_2": "STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084503",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASALKHI",
        "first_name": "MUTTAA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "27532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.