Active NPI
Constantine Moschonas, M.D.
- Neurology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 19915
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZWCKFM | Other | AZ | MEDICARE GROUP ID # |
| 162321-01 | Medicaid | AZ | |
| 1Z2076 | Other | AZ | HEALTHNET ID # |
| 4330420 | Other | AZ | AETNA ID # |
| AZ0344440 | Other | AZ | BCBS ID # |
| 4230300 | Other | AZ | CIGNA ID # |
| 05-00060 | Other | AZ | UNITEDHEALTHCARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Arizona Orthopedic and Surgical Specialty Hospital
- Honorhealth Scottsdale Shea Medical Center
- Honor Health John C. Lincoln Medical Center
- Chandler Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Peaks Neurology, P.C. | Neurology | Current | Accepting new patients |
| Sensory Testing Systems, LLC | Specialist | Current | 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
- https://api.platform.athenahealth.com/2959/brand/1/csg/1/fhir/r4
- 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.
-
- Neurology Physician
- Scottsdale, AZ
- NPI 1295869964
-
- Clinical Neurophysiology Physician
- Scottsdale, AZ
- NPI 1750487096
Specialist
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.