Individual provider Active NPI

Mohammad I Jamil, MD

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1255419206
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31759 Issued in AZ
Practice address
8765 W Kelton LN Ste 110
Peoria, AZ 85382-5008
Phone
(623) 670-7772
Fax
(623) 444-2361
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 31759 AZ
Internal Medicine Physician 207R00000X 31759 AZ Primary

Addresses

Primary practice location

8765 W Kelton LN Ste 110
Peoria, AZ 85382-5008

Mailing address

8765 W Kelton LN Ste 110
Peoria, AZ 85382-5008
Phone (623) 670-7772

Other identifiers 1

IdentifierTypeStateIssuer
793093MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040615000935 AZ Practitioner - Internal Medicine 7012991334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

8765 W Kelton LN
Suite 110
Peoria, AZ 85382-5008
Phone (623) 670-7772

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Merit-based Incentive Payment System (MIPS)

Final score
68.31 of 100Reported as individual
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31759AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad Jamil PC Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jun 1, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jun 1, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients

Locations

2860 S Alma School Rd
Ste 33
Chandler, AZ 85286
Phone (480) 581-1200

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

8765 W Kelton Ln
Ste 110
Peoria, AZ 85382
Phone (480) 799-3003

13350 N 94th Dr
Ste B102
Peoria, AZ 85381
Phone (310) 956-0556

13634 N 93rd Ave
Ste 200
Peoria, AZ 85381
Phone (480) 907-7572

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1255419206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825008",
            "telephone_number": "623-670-7772",
            "fax_number": "623-444-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825008",
            "telephone_number": "623-670-7772",
            "fax_number": "623-444-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIL",
        "first_name": "MOHAMMAD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "31759",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793093",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.