Individual provider Active NPI

Seyed Ahmed Javadpoor, MD

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1194713263
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31527 Issued in AZ
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

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
789539MedicaidAZ

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
I20040408000276 AZ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3072506500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
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 Hospital, Mesa, AZ, CCN 030088
  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Lung & Sleep Institute PLLC Pulmonary Disease PastSince Mar 18, 2024 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.