Active NPI
Fyk Med PLLC
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1124522792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FYK MED PLLC
- Practice address
- 10238 E Hampton Ave
Mesa, AZ 85209-3316 - Phone
- (480) 354-6463
- NPI assigned
- Mar 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fayz Yar Khan, MD
- Title
- Owner
- Phone
- (480) 823-1199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10238 E Hampton Ave
Mesa, AZ 85209-3316
Mailing address
12746 N Windrose Dr
Scottsdale, AZ 85260-4534
Phone (480) 823-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180802001778 | AZ | Part B Supplier - Clinic/Group Practice | 2466700760 |
Receives reassigned benefits from 1 practitioner Practice locations: Phoenix, AZ |
National Provider Directory
National Provider DirectoryLocations
10238 E Hampton Ave
Mesa, AZ 85209
Phone (480) 357-0366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1124522792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12746 N WINDROSE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852604534",
"telephone_number": "480-823-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10238 E HAMPTON AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852093316",
"telephone_number": "480-354-6463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FYK MED PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-20",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "YAR KHAN",
"authorized_official_first_name": "FAYZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-823-1199",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.