Organization Active NPI

Desert Spine and Scoliosis Center

  • Orthopaedic Surgery of the Spine Physician
  • Mesa, AZ
National Provider Identifier
1235427709
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
42500 Issued in AZ
Legal business name
DESERT SPINE AND SCOLIOSIS CENTER
Practice address
4566 E Inverness Ave
Suite 208
Mesa, AZ 85206-4633
Phone
(480) 993-1300
Fax
(480) 993-1335
NPI assigned
Jul 18, 2011
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Rafath Ullah Baig, MDNPI 1194883223
Title
President
Phone
(480) 993-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 42500 AZ Primary

Addresses

Primary practice location

4566 E Inverness Ave
Suite 208
Mesa, AZ 85206-4633

Mailing address

4566 E Inverness Ave
Suite 208
Mesa, AZ 85206-4633
Phone (480) 993-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000843 AZ Part B Supplier - Clinic/Group Practice 1355518259 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1235427709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-993-1300",
            "fax_number": "480-993-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-993-1300",
            "fax_number": "480-993-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SPINE AND SCOLIOSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "RAFATH",
        "authorized_official_middle_name": "ULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-993-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "42500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.