Gholam A Peyman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

31729 Issued in AZ

Practice address

13624 W Camino del Sol Ste 200B
Sun City West, AZ 85375-3401

Phone

(623) 474-3937

Fax

(623) 289-7901

NPI assigned

Jul 22, 2005

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Macular Degeneration Center of Excellence

  • Ophthalmology Physician
  • Sun City West, AZ
  • NPI 1780963611
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1225038946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 W CAMINO DEL SOL STE 200B",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753401",
            "telephone_number": "623-474-3937",
            "fax_number": "623-289-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 W CAMINO DEL SOL STE 200B",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753401",
            "telephone_number": "623-474-3937",
            "fax_number": "623-289-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYMAN",
        "first_name": "GHOLAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "31729",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "31729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111874",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nat Peter Pellegrini
• Cindy Penaranda
• Jon Pennington, PA-C
• Marina Permiakova, D.O.
• Anthony Robert Perry, MD
• Arlene Phillips, PTA
• Maria Pirrera, FNP-C
• Teodor Cristian Pitea, MD
• Tanner J Pitts, RBT
• Placido LLC

• Ophthalmology Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.