NPIMap

Individual provider Active NPI

Masoud Sultani, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1104237478
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
56887 Issued in AZ
Practice address
5501 N 19TH Ave Ste 103
Phoenix, AZ 85015-2451
Phone
(602) 589-0500
Fax
(602) 314-4552
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 56887 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 56887 AZ Primary

Addresses

Primary practice location

5501 N 19TH Ave Ste 103
Phoenix, AZ 85015-2451

Mailing address

1019 E Irma LN
Phoenix, AZ 85024-4114
Phone (602) 463-0556

Other identifiers 1

IdentifierTypeStateIssuer
440185MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181227001979 AZ Practitioner - Anesthesiology 5092070417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arizona College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

9250 N 3Rd St
Suite 2015
Phoenix, AZ 85020-2404
Phone (602) 786-0030

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Pca Anesthesia Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 2, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Mar 23, 2021 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 2, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Mar 23, 2021 Accepting new patients
District Medical Group, Inc Anesthesiology Past Accepting new patients

Locations

10144 W Lake Pleasant Pkwy
Ste 1110
Peoria, AZ 85382
Phone (623) 434-5748

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

Interoperability endpoints

  • Direct secure messaging: msultani435266@direct.honorhealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1104237478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 E IRMA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244114",
            "telephone_number": "602-463-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANI",
        "first_name": "MASOUD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "56887",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "56887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440185",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.