Individual provider Active NPI

Mohamed Nader Akl, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Mesa, AZ
National Provider Identifier
1154388171
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
35205 Issued in AZ
Practice address
6632 E. Baseline Road, Suite 101
Mesa, AZ 85206
Phone
(480) 889-2654
Fax
(480) 699-1022
NPI assigned
Apr 26, 2006
Last updated
May 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 35205 AZ Primary

Addresses

Primary practice location

6632 E. Baseline Road, Suite 101
Mesa, AZ 85206

Mailing address

6632 E. Baseline Road, Suite 101
Mesa, AZ 85206
Phone (480) 889-2654

Other identifiers 2

IdentifierTypeStateIssuer
P00367463OtherAZRAILROAD MEDICARE
094866MedicaidAZ

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
I20060530000023 AZ Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 3971514241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modocurogyn, PLLCGroup PAC ID 4385817634, 2 clinicians

Practice addresses (Care Compare)

6632 E Baseline Rd
Suite 101
Mesa, AZ 85206-4428
Phone (480) 889-2654

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modocurogyn, PLLC CurrentSince Feb 15, 2011 Accepting new patients

Locations

5651 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (480) 889-2654

6239 E Brown Rd
Ste 112
Mesa, AZ 85205
Phone (480) 854-2676

6632 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 889-2654

9700 N 91st St
Ste A103
Scottsdale, AZ 85258
Phone (480) 551-1059

Interoperability endpoints

  • Direct secure messaging: drmoakl@azurogyn.direct.emds.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1154388171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 E. BASELINE ROAD, SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-889-2654",
            "fax_number": "480-699-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 E. BASELINE ROAD, SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-889-2654",
            "fax_number": "480-699-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKL",
        "first_name": "MOHAMED",
        "middle_name": "NADER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AZ",
            "license": "35205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00367463",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094866",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.