Active NPI
Manoj G Massand, MD
- Neuroradiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 31215
- Practice address
- 350 W Thomas Rd
Phoenix, AZ 85013-4496 - Phone
- (602) 954-6228
- Fax
- (602) 957-6142
- NPI assigned
- May 19, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | L1130 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 25811 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 83877 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 49229 | CO | |
| Neuroradiology Physician | 2085N0700X | 31215 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
Phoenix, AZ 85013-4496
Mailing address
PO Box 44037
Phoenix, AZ 85064-4037
Phone (602) 954-6228
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235182106 | Medicaid | CA | |
| 1235182106 | Medicaid | NV | |
| 176590106 | Medicaid | TX | |
| 200174100A | Medicaid | OK | |
| 1235182106 | Medicaid | SD | |
| 176590102 | Medicaid | TX | |
| 176590103 | Medicaid | TX | |
| 74634241 | Medicaid | NM | |
| 176590101 | Medicaid | TX | |
| 176590104 | Medicaid | TX | |
| 72750324 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, 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
- Diagnostic Radiology
- Education
- University of Chicago, Pritzker School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 954-6228
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83877 | GA | MD | Diagnostic Radiology Physician |
| 31215 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic Medical Services Company | Diagnostic Radiology | Current | Accepting new patients |
| Clinic Medical Services Company LLC | Diagnostic Radiology | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Cleveland Clinic Nevada | Diagnostic Radiology | Current | Accepting new patients |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Baylor University Medical Center | Past | Accepting new patients | |
| American Health Imaging of Dallas LLC | Past | Accepting new patients | |
| Cleveland Clinic Avon Hospital | Past | Accepting new patients | |
| Willowbend Diagnostic Imaging, PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
9500 Euclid Ave
#L10
Cleveland, OH 44195
Phone (216) 444-0617
6801 Brecksville Rd
#1110
Independence, OH 44131
Phone (216) 986-1256
6100 W Creek Rd
#35
Independence, OH 44131
Phone (216) 642-8165
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Interoperability endpoints
- mmassand227926@direct.ccf.org
Organizations & group practices 11
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.
-
- Neuroradiology Physician
- Phoenix, AZ
- NPI 1679549190
-
- Diagnostic Radiology Physician
- Cleveland, OH
- NPI 1528013984
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1508024209
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Radiology Clinic/Center
- New Braunfels, TX
- NPI 1780413427
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1851621288
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1235182106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44037",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850644037",
"telephone_number": "602-954-6228",
"fax_number": "602-957-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134496",
"telephone_number": "602-954-6228",
"fax_number": "602-957-6142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSAND",
"first_name": "MANOJ",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L1130",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "25811",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "83877",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "49229",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "AZ",
"license": "31215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235182106",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235182106",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176590106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200174100A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235182106",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176590102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176590103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74634241",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176590101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176590104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72750324",
"state": "CO"
}
],
"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 Jun 4, 2024; 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.