Individual provider Active NPI

Daniel J. Para, MD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1205830684
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
022450 Issued in AZ
Practice address
9515 W Camelback Rd
Suite 132
Phoenix, AZ 85037-1355
Phone
(623) 247-4900
Fax
(623) 247-4908
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-15280 AR
Surgery Physician 208600000X 022450 AZ Primary

Addresses

Primary practice location

9515 W Camelback Rd
Suite 132
Phoenix, AZ 85037-1355

Mailing address

9515 W Camelback Rd
Suite 132
Phoenix, AZ 85037-1355
Phone (623) 247-4900

Other practice location 1

101 Skyline Dr
Russellville, AR 72801-3395
Phone (479) 968-2345

Other identifiers 5

IdentifierTypeStateIssuer
0060824OtherAZHEALTHNET
434655OtherAZAHCCCS
AZ0831130OtherAZBC/BS
6542961003OtherAZCIGNA
020040856OtherAZMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, AR, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040203001027 AZ Practitioner - General Surgery 0042103152 Reassigns benefits to 5 organizations
I20101021001453 IL Practitioner - General Surgery 0042103152 Reassigns benefits to 2 organizations
I20220713002921 AR Practitioner - General Surgery 0042103152 Reassigns benefits to 2 organizations
I20230424002604 CA Practitioner - General Surgery 0042103152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Vein Clinics of Phoenix PLLCGroup PAC ID 2264816149, 2 clinicians

Practice addresses (Care Compare)

2600 N 44TH St
BLDG a
Phoenix, AZ 85008-1521
Phone (602) 734-4405

9515 W Cambelback Rd
Phoenix, AZ 85037-1364
Phone (623) 247-4900

Hospital & facility affiliations

  • Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022450AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Arizona PLLC CurrentSince May 15, 2024 Accepting new patients
Para Surgical Specialists, PLLC Surgery CurrentSince May 26, 2011 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Apr 1, 2023 Accepting new patients
St Marys Physician Services, LLC CurrentSince Jul 22, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Jul 3, 2023 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Jul 1, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jul 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 8, 2022 Accepting new patients
St Mary'S Physician Services LLC CurrentSince Jul 22, 2022 Accepting new patients
USA Vein Clinics of Phoenix PLLC CurrentSince May 1, 2023 Accepting new patients
Palm Vein Center LLC CurrentSince Apr 1, 2013 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. Past Accepting new patients

Locations

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

6120 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 978-9053

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

2600 N 44th St
Ste 1
Phoenix, AZ 85008
Phone (602) 734-4405

2600 N 44th St
Bldg A
Phoenix, AZ 85008
Phone (602) 734-4405

9515 W Camelback Rd
Ste 132
Phoenix, AZ 85037
Phone (623) 247-4900

16944 W Bell Rd
Ste 603
Surprise, AZ 85374
Phone (623) 201-4777

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 John Deere Rd
Ste 301
Moline, IL 61265
Phone (309) 779-4400

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1205830684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD",
            "address_2": "SUITE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371355",
            "telephone_number": "623-247-4900",
            "fax_number": "623-247-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD",
            "address_2": "SUITE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371355",
            "telephone_number": "623-247-4900",
            "fax_number": "623-247-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013395",
            "country_code": "US",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARA",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-15280",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "022450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0060824",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "434655",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0831130",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6542961003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020040856",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.