NPIMap

Individual provider Active NPI

Abdul Q Memon, MD

  • Interventional Cardiology Physician
  • Globe, AZ
National Provider Identifier
1093781346
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
24282 Issued in AZ
Practice address
5882 S Hospital Dr Ste 1
Globe, AZ 85501
Phone
(928) 793-3747
Fax
(928) 793-3745
NPI assigned
Feb 27, 2006
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24282 AZ
Cardiovascular Disease Physician 207RC0000X 24282 AZ
Interventional Cardiology Physician 207RI0011X 24282 AZ Primary

Addresses

Primary practice location

5882 S Hospital Dr Ste 1
Globe, AZ 85501

Mailing address

5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455
Phone (928) 793-3747

Other practice location 1

2075 W Pecos Rd Ste B1
Chandler, AZ 85224-5722
Phone (480) 748-4238

Other identifiers 8

IdentifierTypeStateIssuer
2Z1340OtherAZHEALTHNET
AZ0769860OtherAZBC/BS OF ARIZONA
7765048OtherAZAETNA HEALTHCARE
362450MedicaidAZ
6013273OtherAZCIGNA HEALTHCARE
362450OtherAZSTATE AHCCCS
36245001OtherAZMERCYCARE
6013273OtherAZCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041118000901 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931163920 Reassigns benefits to 4 organizations
I20180306000821 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931163920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Neurological Institute, IncGroup PAC ID 9931287711, 20 clinicians
Abdul Memon MD PLLCGroup PAC ID 5294883211, 7 clinicians
Phoenician Cardiac Care LLCGroup PAC ID 0749690048, 9 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

1343 N Alma School Rd
Suite 125 135 295
Chandler, AZ 85224-5905
Phone (480) 776-2982

1343 N Alma School Rd
Suite 295
Chandler, AZ 85224-5948
Phone (480) 444-7464

2075 W Pecos Rd
Suite B1
Chandler, AZ 85224-5722
Phone (480) 748-4238

2226 W Northern Ave
Suite C212
Phoenix, AZ 85021-4929
Phone (480) 444-7464

5882 S Hospital Dr
Suite 1
Globe, AZ 85501-9455
Phone (480) 256-1518

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
73.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair12
Varicose vein removal18
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24282AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cobre Valley Regional Medical Center CurrentSince Sep 14, 2020 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Phoenix Neurological Institute, Inc Cardiovascular Disease CurrentSince Jul 17, 2017 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jan 23, 2018 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Sep 14, 2020 Accepting new patients
Abdul Memon, MD, PLLC Cardiovascular Disease CurrentSince Jan 17, 2009 Accepting new patients
Cobre Valley Regional Medical Center Current Accepting new patients
M & M Surgery Center LLC Current Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients
Dignity Community Care Past Accepting new patients
Chandler Regional Medical Center Past Accepting new patients

Locations (25 of 26)

1343 N Alma School Rd
Ste 125
Chandler, AZ 85224
Phone (480) 496-2669

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

1343 N Alma School Rd
Ste 135
Chandler, AZ 85224
Phone (480) 444-7472

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

1343 N Alma School Rd
Ste 295
Chandler, AZ 85224
Phone (480) 496-2869

1343 N Alma School Rd
Ste 295205
Chandler, AZ 85224

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

2075 W Pecos Rd
Ste 1
Chandler, AZ 85224
Phone (480) 656-5711

2075 W Pecos Rd
Ste 2
Chandler, AZ 85224
Phone (480) 219-6840

2075 W Pecos Rd
Ste B1
Chandler, AZ 85224
Phone (480) 748-4238

604 W Warner Rd
Ste E201
Chandler, AZ 85225
Phone (480) 963-7900

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5882 S Hospital Dr
Ste 1
Globe, AZ 85501
Phone (928) 425-2474

5990 S Hospital Dr
Globe, AZ 85501
Phone (520) 402-9319

5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108

10720 E Southern Ave
Ste 116
Mesa, AZ 85209
Phone (480) 365-0050

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2224 W Northern Ave
Ste D270
Phoenix, AZ 85021

2226 W Northern Ave
Ste C212
Phoenix, AZ 85021
Phone (480) 444-7472

2228 W Northern Ave
Ste B202
Phoenix, AZ 85021
Phone (480) 346-9522

8424 E Shea Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 256-1520

5300 S Sutter Dr
Ste 1
Show Low, AZ 85901
Phone (928) 532-7546

1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423

2000 E Southern Ave
Ste 106
Tempe, AZ 85282
Phone (480) 444-7491

Organizations & group practices 12

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1093781346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 W Pecos Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245722",
            "country_code": "US",
            "telephone_number": "480-748-4238",
            "fax_number": "480-452-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "ABDUL",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24282",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "24282",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "24282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z1340",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ARIZONA",
            "identifier": "AZ0769860",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7765048",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362450",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "6013273",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AHCCCS",
            "identifier": "362450",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE",
            "identifier": "36245001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6013273",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.