Active NPI
Seyed Ahmed Javadpoor, MD
- Pulmonary Disease Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 31527
- Practice address
- 3155 E Southern Ave
Ste 203
Mesa, AZ 85204-5519 - Phone
- (480) 325-8173
- Fax
- (480) 325-8179
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 31527 | AZ | Primary |
Addresses
Primary practice location
3155 E Southern Ave
Ste 203
Mesa, AZ 85204-5519
Mailing address
3155 E Southern Ave
Ste 203
Mesa, AZ 85204-5519
Phone (480) 325-8173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 789539 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 E Pecos Rd
Suite 3
Chandler, AZ 85225-6075
Phone (480) 325-8173
3155 E Southern Ave
Suite 103
Mesa, AZ 85204-5520
Phone (480) 325-8173
Hospital & facility affiliations
- Banner Baywood Medical Center
- Banner Heart Hospital
- Banner Desert Medical Center
- Banner Ironwood Medical Center
- Mercy Gilbert Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Lung & Sleep Institute PLLC | Pulmonary Disease | Past | Accepting new patients |
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.
-
- Pulmonary Disease Physician
- Mesa, AZ
- NPI 1235274614
-
- Pulmonary Disease Physician
- Mesa, AZ
- NPI 1477857852
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1194713263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 E SOUTHERN AVE",
"address_2": "STE 203",
"city": "MESA",
"state": "AZ",
"postal_code": "852045519",
"telephone_number": "480-325-8173",
"fax_number": "480-325-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 E SOUTHERN AVE",
"address_2": "STE 203",
"city": "MESA",
"state": "AZ",
"postal_code": "852045519",
"telephone_number": "480-325-8173",
"fax_number": "480-325-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVADPOOR",
"first_name": "SEYED",
"middle_name": "AHMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "31527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789539",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.