Active NPI
Pedram Motamedi, MD
- Surgery of the Hand (Surgery) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 74354
- Practice address
- 16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356 - Phone
- (480) 791-2422
- Fax
- (602) 953-5466
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 74354 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Mailing address
4727 E Bell Rd Ste 45-287
Phoenix, AZ 85032-2308
Phone (480) 791-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 State St
Suite 205
Erie, PA 16507-1429
Phone (814) 456-6022
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD486092 | PA | MD | Surgery of the Hand (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand, Microsurgery and Reconstructive Orthopaedics, LLP | Current | Accepting new patients | |
| Clinical Therapeutics Inc | Current | Accepting new patients | |
| Upmc Hamot | Past | Accepting new patients | |
| Acute Care Hand Specialists LLC | Surgery of the Hand | Past | Accepting new patients |
Locations
300 State St
Ste 205
Erie, PA 16507
Phone (814) 456-6022
Interoperability endpoints
- pmotamedi1055944@direct.ahn.org
Organizations & group practices 5
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.
-
- Orthopaedic Hand Surgery Physician
- Erie, PA
- NPI 1205856010
-
- Emergency Medical Services (Emergency Medicine) Physician
- Phoenix, AZ
- NPI 1225311871
-
- Surgery of the Hand (Surgery) Physician
- Phoenix, AZ
- NPI 1295691483
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1225692676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 E BELL RD STE 45-287",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322308",
"telephone_number": "480-791-2422",
"fax_number": "602-953-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "480-791-2422",
"fax_number": "602-953-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAMEDI",
"first_name": "PEDRAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "AZ",
"license": "74354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.