NPIMap

Individual provider Active NPI

Mohammad I Uddin, MD

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
National Provider Identifier
1215959762
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40368 Issued in AZ
Practice address
5690 W Chandler Blvd Ste 2
Chandler, AZ 85226-3356
Phone
(480) 878-7425
Fax
(480) 207-1025
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40368 AZ Primary

Addresses

Primary practice location

5690 W Chandler Blvd Ste 2
Chandler, AZ 85226-3356

Mailing address

PO Box 36
Tempe, AZ 85280-0036
Phone (480) 878-7425

Other identifiers 1

IdentifierTypeStateIssuer
367105MedicaidAZ

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
I20081001000161 AZ Practitioner - Physical Medicine and Rehabilitation 6608944814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5690 W Chandler Blvd
Suite 2
Chandler, AZ 85226-3356
Phone (480) 878-7425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.44 of 100Reported as individual
Quality
90.44
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Physical Medicine and Rehabilitation PC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2008 Accepting new patients
University Group Medical Associates, P.C Physical Medicine & Rehabilitation Past Accepting new patients
Dignity-Lifepoint Rehabilitation Hospital East Valley LLC Past Accepting new patients

Locations

5690 W Chandler Blvd
Ste 2
Chandler, AZ 85226
Phone (480) 782-0101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDDCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDDCA/Endpoint/AEDDCA

Organizations & group practices 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1215959762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852800036",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263356",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MOHAMMAD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "40368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367105",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.