Individual provider Active NPI

Obada Subei, MD

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1194127464
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
64129 Issued in AZ
Practice address
3877 N 7TH St Ste 200
Phoenix, AZ 85014-5084
Phone
(623) 777-7716
Fax
(623) 806-8650
NPI assigned
Sep 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 64129 AZ
Neuro-ophthalmology Physician 207WX0109X 64129 AZ
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 64129 AZ Primary

Addresses

Primary practice location

3877 N 7TH St Ste 200
Phoenix, AZ 85014-5084

Mailing address

3877 N 7TH St Ste 200
Phoenix, AZ 85014-5084
Phone (623) 777-7716

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
I20230320001229 AZ Practitioner - NeurologyPractitioner - Ophthalmology 5193199842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3877 N 7TH St
Suite 200
Phoenix, AZ 85014-5084
Phone (623) 777-7716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64129AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Neurology Neuro-Ophthalmology CurrentSince Dec 13, 2022 Accepting new patients
The Brain and Eye Institute LLC Multi-Specialty CurrentSince Nov 28, 2022 Accepting new patients

Locations

3877 N 7th St
Ste 200
Phoenix, AZ 85014
Phone (623) 777-7716

6401 E Thomas Rd
Ste 105
Scottsdale, AZ 85251
Phone (480) 941-4400

Interoperability endpoints

  • Direct secure messaging: obada.subei@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1194127464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145084",
            "telephone_number": "623-777-7716",
            "fax_number": "623-806-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145084",
            "telephone_number": "623-777-7716",
            "fax_number": "623-806-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBEI",
        "first_name": "OBADA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "64129",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "AZ",
            "license": "64129",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "64129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.