Active NPI
Karam Moon, MD
- Neurological Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- R72004
- Practice address
- 350 W Thomas Rd
Attn: Academic Affairs
Phoenix, AZ 85013-4409 - Phone
- (602) 406-3000
- Fax
- (602) 294-8286
- NPI assigned
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | R72004 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
Attn: Academic Affairs
Phoenix, AZ 85013-4409
Mailing address
1331 N 7TH St
Ste 275
Phoenix, AZ 85006-2769
Phone (602) 254-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R72004 | Other | AZ | AZ TRAINING PERMIT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170705000199 | AZ | Practitioner - Neurosurgery | 2466721618 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72004 | AZ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effideen Ameerally MD PC | Family Medicine | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Kpa Medical LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Integrity Pain and Anesthesia PLLC | Family Medicine | Current | Accepting new patients |
| Anesthesia Partners & Management LLC | Past | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Family Medicine | Past | Accepting new patients |
| Honorhealth Ambulatory | Past | Accepting new patients |
Locations
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450
6677 W Thunderbird Rd
Glendale, AZ 85306
Phone (623) 255-4180
7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111
7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503
15000 N 83rd Ave
Unit 200
Peoria, AZ 85381
Phone (623) 849-3811
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475
5010 E Shea Blvd
Ste D100
Scottsdale, AZ 85254
Phone (480) 534-4516
10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260
8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
Interoperability endpoints
- kmoon570591@direct.honorhealth.com
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
AZ
-
- Pain Medicine Physician
- Scottsdale, AZ
- NPI 1386049070
AZ, Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1013531268
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Honorhealth Ambulatory
Practice addresses (Care Compare)
18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (623) 683-8000
Hospital & facility affiliations
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 38 |
| Laminectomy or laminotomy (partial removal of spine bones) | 13 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1104147909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 N 7TH ST",
"address_2": "STE 275",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062769",
"telephone_number": "602-254-3151",
"fax_number": "602-256-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"address_2": "ATTN: ACADEMIC AFFAIRS",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134409",
"telephone_number": "602-406-3000",
"fax_number": "602-294-8286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "KARAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-15",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "R72004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ TRAINING PERMIT",
"identifier": "R72004",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.