Organization Active NPI

Mohammad Reza Hojjati MD PHD PLLC

  • Cardiovascular Disease Physician
  • Chandler, AZ
National Provider Identifier
1194248252
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
46481 Issued in AZ
Legal business name
MOHAMMAD REZA HOJJATI MD PHD PLLC
Practice address
3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone
(480) 476-8750
Fax
(480) 476-8749
NPI assigned
Jul 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Authorized official

Name
Mohammed Reza Hojjati, MD PHD
Title
Owner/Physician
Phone
(480) 476-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 46481 AZ Primary

Addresses

Primary practice location

3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472

Mailing address

PO Box 756
Chandler, AZ 85244-0756
Phone (480) 476-8750

Other identifiers 1

IdentifierTypeStateIssuer
722920MedicaidAZ

Other names 1

  • Heart Care Center of the Valley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170816003069 AZ Part B Supplier - Clinic/Group Practice 9335411925 Receives reassigned benefits from 2 practitioners
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1194248252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852440756",
            "telephone_number": "480-476-8750",
            "fax_number": "480-476-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W RAY RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262472",
            "telephone_number": "480-476-8750",
            "fax_number": "480-476-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD REZA HOJJATI MD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "HOJJATI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-476-8750",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "46481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722920",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Care Center of the Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Care Center of the Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.

Verify at the official NPI Registry.