Individual provider Active NPI

Constantine Moschonas, M.D.

  • Neurology Physician
  • Scottsdale, AZ
National Provider Identifier
1205965019
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19915 Issued in AZ
Practice address
9746 N 90TH PL
#203
Scottsdale, AZ 85258-5085
Phone
(480) 614-0707
Fax
(480) 614-0353
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 19915 AZ Primary

Addresses

Primary practice location

9746 N 90TH PL
#203
Scottsdale, AZ 85258-5085

Mailing address

9746 N 90TH PL
#203
Scottsdale, AZ 85258-5085
Phone (480) 614-0707

Other identifiers 7

IdentifierTypeStateIssuer
ZWCKFMOtherAZMEDICARE GROUP ID #
162321-01MedicaidAZ
1Z2076OtherAZHEALTHNET ID #
4330420OtherAZAETNA ID #
AZ0344440OtherAZBCBS ID #
4230300OtherAZCIGNA ID #
05-00060OtherAZUNITEDHEALTHCARE ID #

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
I20110621000401 AZ Practitioner - NeurologyPractitioner - Internal Medicine 5294711776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sensory Testing Systems LLCGroup PAC ID 2062686330, 8 clinicians
Four Peaks Neurology, P.C.Group PAC ID 9032195516, 3 clinicians

Practice addresses (Care Compare)

8655 E Via Deventura St
Suite E155
Scottsdale, AZ 85258-3300
Phone (484) 351-8459

9746 N 90TH PL
Suite 203
Scottsdale, AZ 85258-5085
Phone (480) 614-0707

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Four Peaks Neurology, P.C. Neurology CurrentSince Jun 1, 2009 Accepting new patients
Sensory Testing Systems, LLC Specialist CurrentSince Sep 15, 2016 Accepting new patients

Locations

8655 E Via de Ventura
Ste E155
Scottsdale, AZ 85258
Phone (480) 247-3747

9746 N 90th Pl
Ste 203
Scottsdale, AZ 85258
Phone (480) 614-0707

2915 W Bitters Rd
Ste 201
San Antonio, TX 78248

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2959/brand/1/csg/1/fhir/r4
  • Direct secure messaging: constantine.moschonas.1@2959.direct.athenahealth.com

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1205965019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "#203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585085",
            "telephone_number": "480-614-0707",
            "fax_number": "480-614-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "#203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585085",
            "telephone_number": "480-614-0707",
            "fax_number": "480-614-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHONAS",
        "first_name": "CONSTANTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "19915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID #",
            "identifier": "ZWCKFM",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162321-01",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID #",
            "identifier": "1Z2076",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "4330420",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "AZ0344440",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID #",
            "identifier": "4230300",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE ID #",
            "identifier": "05-00060",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.