Organization Active NPI

Colorectal Consultants, PLLC

  • Colon & Rectal Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1124201777
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
34222 Issued in AZ
Legal business name
COLORECTAL CONSULTANTS, PLLC
Practice address
9475 E Ironwood Square Dr Ste 102
Scottsdale, AZ 85258-4576
Phone
(480) 240-7391
Fax
(480) 240-7391
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Dr. Raed Tarazi, M.D.
Title
Owner/President
Phone
(480) 240-7391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 34222 AZ Primary

Addresses

Primary practice location

9475 E Ironwood Square Dr Ste 102
Scottsdale, AZ 85258-4576

Mailing address

PO Box 4023
Scottsdale, AZ 85261-4023
Phone (480) 240-7391

National Provider Directory

National Provider Directory

Locations

333 E Virginia Ave
Ste 111
Phoenix, AZ 85004
Phone (480) 947-3533

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1124201777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4023",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614023",
            "telephone_number": "480-240-7391",
            "fax_number": "480-240-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-240-7391",
            "fax_number": "480-240-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "TARAZI",
        "authorized_official_first_name": "RAED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-240-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "34222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.