Individual provider Active NPI

Mehdi Mazaheri, M.D.

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1255388302
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25530 Issued in AZ
Practice address
5725 N Scottsdale Rd
#150
Scottsdale, AZ 85250-5908
Phone
(480) 951-4343
Fax
(480) 970-3100
NPI assigned
May 27, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25530 AZ Primary

Addresses

Primary practice location

5725 N Scottsdale Rd
#150
Scottsdale, AZ 85250-5908

Mailing address

5725 N Scottsdale Rd
#150
Scottsdale, AZ 85250-5908
Phone (480) 951-4343

Other identifiers 1

IdentifierTypeStateIssuer
753013MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25530AZMDPlastic Surgery Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1255388302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 N SCOTTSDALE RD",
            "address_2": "#150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505908",
            "telephone_number": "480-951-4343",
            "fax_number": "480-970-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 N SCOTTSDALE RD",
            "address_2": "#150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505908",
            "telephone_number": "480-951-4343",
            "fax_number": "480-970-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAHERI",
        "first_name": "MEHDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "25530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753013",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.