Individual provider Active NPI

Farhan Taghizadeh, MD

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1114948353
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36688 Issued in AZ
Practice address
4602 N 16TH St
FL 3
Phoenix, AZ 85016-5189
Phone
(480) 296-0488
Fax
(800) 726-5029
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2005-0527 NM
Facial Plastic Surgery Physician 207YS0123X 36688 AZ
Otolaryngology Physician 207Y00000X 36688 AZ Primary

Addresses

Primary practice location

4602 N 16TH St
FL 3
Phoenix, AZ 85016-5189

Mailing address

4602 N 16TH St
FL 3
Phoenix, AZ 85016-5189
Phone (480) 296-0488

Other identifiers 2

IdentifierTypeStateIssuer
207YS0123XMedicaidNM
973827MedicaidAZ

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
I20170525002557 AZ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8527085240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

14040 N Northsight Blvd
Suite 100
Scottsdale, AZ 85260-3601
Phone (480) 534-4525

20745 N Scottsdale Rd
Scottsdale, AZ 85255-6595

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-0527NMMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jun 10, 2017 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 2, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 2, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

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

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

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

20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

Interoperability endpoints

  • Direct secure messaging: ftaghizadeh367751@direct.honorhealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1114948353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST",
            "address_2": "FL 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165189",
            "telephone_number": "480-296-0488",
            "fax_number": "800-726-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST",
            "address_2": "FL 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165189",
            "telephone_number": "480-296-0488",
            "fax_number": "800-726-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHIZADEH",
        "first_name": "FARHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "2005-0527",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AZ",
            "license": "36688",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "36688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207YS0123X",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973827",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.