Individual provider Active NPI

Karam Moon, MD

  • Neurological Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1104147909
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R72004 Issued in AZ
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

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R72004OtherAZAZ 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
R72004AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effideen Ameerally MD PC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Honorhealth Ambulatory CurrentSince May 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince May 1, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jul 22, 2017 Accepting new patients
Kpa Medical LLC CurrentSince Jan 1, 2026 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Mar 1, 2018 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jul 22, 2017 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Mar 1, 2018 Accepting new patients
Integrity Pain and Anesthesia PLLC Family Medicine CurrentSince Jan 1, 2026 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

  • Direct secure messaging: 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.

View all 13

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 630 clinicians

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 Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion38
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

Verify at the official NPI Registry.