NPIMap

Individual provider Active NPI

Mohammad Golparian, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1174510002
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32921 Issued in AZ
Practice address
3769 Crossings Dr Ste B
Prescott, AZ 86305-7270
Phone
(480) 808-8281
Fax
(330) 624-9294
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 32921 AZ
Internal Medicine Physician 207R00000X 32921 AZ Primary

Addresses

Primary practice location

3769 Crossings Dr Ste B
Prescott, AZ 86305-7270

Mailing address

3769 Crossings Dr Ste B
Prescott, AZ 86305-7270
Phone (928) 888-9750

Other identifiers 1

IdentifierTypeStateIssuer
880733OtherAZAHCCCS

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
I20040817001040 AZ Practitioner - Internal Medicine 0446248538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arak LLCGroup PAC ID 3678950417, 2 clinicians

Practice addresses (Care Compare)

3769 Crossings Dr
Suite B
Prescott, AZ 86305-7270
Phone (928) 888-9750

Hospital & facility affiliations

  • Passion Home Health LLC Home health agency, Scottsdale, AZ, CCN 037805
  • Bayada Home Health Care, Inc. Home health agency, Prescott, AZ, CCN 037030
  • Centerwell Home Health Home health agency, Prescott, AZ, CCN 037139
  • Angels Care Home Health of Arizona Home health agency, Cottonwood, AZ, CCN 037217
  • Nurses Network by Quality Home Health Care Home health agency, Prescott Valley, AZ, CCN 037154
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arak LLC Family Medicine CurrentSince Apr 7, 2022 Accepting new patients
Prodigee Inpatient Physicians Group, P.L.L.C. Hospitalist Past Accepting new patients
Gregg Smith D.O., P.C. Hospitalist Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3769 Crossings Dr
Ste B
Prescott, AZ 86305
Phone (928) 458-7343

3773 Crossings Dr
Ste A
Prescott, AZ 86305
Phone (928) 277-8316

3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700

Organizations & group practices 4

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 6

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1174510002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 CROSSINGS DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057270",
            "telephone_number": "928-888-9750",
            "fax_number": "928-888-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 CROSSINGS DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057270",
            "telephone_number": "480-808-8281",
            "fax_number": "330-624-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLPARIAN",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "32921",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "880733",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.