NPIMap

Individual provider Active NPI

Mazen Khattab, MD

  • Hematology & Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1205804283
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
42859 Issued in AZ
Practice address
2925 W Rose Garden LN Ste 110
Phoenix, AZ 85027-3135
Phone
(623) 265-7215
Fax
(833) 465-1462
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 42859 AZ
Hematology & Oncology Physician 207RH0003X 42859 AZ Primary

Addresses

Primary practice location

2925 W Rose Garden LN Ste 110
Phoenix, AZ 85027-3135

Mailing address

10839 E Gold Dust Ave
Scottsdale, AZ 85259-4842

Other identifiers 2

IdentifierTypeStateIssuer
2561044MedicaidOH
529099MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000584 AZ Practitioner - Hematology/Oncology 7416998307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

Hospital & facility affiliations

  • City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Medical Oncology CurrentSince Nov 27, 2023 Accepting new patients
City of Hope Medical Group of Arizona LLC Hematology & Oncology CurrentSince Nov 27, 2023 Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology PastSince Sep 15, 2024 Accepting new patients
VHS of Phoenix Inc Past Accepting new patients
Honorhealth Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Arizona Oncology Services Inc Past Accepting new patients
Robinson Memorial Portage County Hospital Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
City of Hope Medical Group of Arizona LLC Medical Oncology Past Accepting new patients
Honorhealth Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Dignity Health Past Accepting new patients
Honorhealth Past Accepting new patients
Honorhealth Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Western Regional Medical Center, Inc. Past Accepting new patients
City of Hope Medical Foundation Hematology & Oncology Past Accepting new patients

Locations

3530 S Val Vista Dr
Ste C203
Gilbert, AZ 85297
Phone (480) 530-4700

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

11209 N Tatum Blvd
Ste B200
Phoenix, AZ 85028
Phone (480) 530-4200

2925 W Rose Garden Ln
Ste 110
Phoenix, AZ 85027
Phone (623) 265-7215

2915 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 207-3000

20159 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 530-4200

3530 S Val Vis Dr C204
Stockton, CA 95297

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: mkhattab180639@cityofhope.direct-ci.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1205804283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10839 E GOLD DUST AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W ROSE GARDEN LN STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273135",
            "telephone_number": "623-265-7215",
            "fax_number": "833-465-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "MAZEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AZ",
            "license": "42859",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "42859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561044",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529099",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.