Individual provider Active NPI

Omar Mahfouz, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1184158222
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60399 Issued in AZ
Practice address
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone
(602) 923-5000
NPI assigned
Apr 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60399 AZ Primary
Hospitalist Physician 208M00000X 60399 AZ

Addresses

Primary practice location

3929 E Bell Rd
Phoenix, AZ 85032-2112

Mailing address

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5000

Other practice location 1

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (303) 390-1940

Other identifiers 1

IdentifierTypeStateIssuer
60399OtherAZARIZONA MEDICAL LICENSE

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
I20201019002620 AZ Practitioner - Family PracticePractitioner - Hospitalist 7911327614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (623) 580-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60399AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Dvma, LLC CurrentSince Oct 1, 2020 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Sep 1, 2020 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist Current Accepting new patients
Cobre Valley Regional Medical Center Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

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 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": "1492214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1184158222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322112",
            "telephone_number": "602-923-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322112",
            "telephone_number": "602-923-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5880 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855019447",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHFOUZ",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "60399",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "60399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL LICENSE",
            "identifier": "60399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.