Active NPI
Birsen Yuzak
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1285658682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 45857
- Practice address
- 12440 S Shasta CT
Phoenix, AZ 85044-3980 - Phone
- (480) 648-5990
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45857 | AZ | Primary |
Addresses
Primary practice location
12440 S Shasta CT
Phoenix, AZ 85044-3980
Mailing address
12440 S Shasta CT
Phoenix, AZ 85044-3980
Phone (480) 648-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01597424 | Medicaid | NY |
Other names 1
- Dr. Birsen Dodanli
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667692800000",
"number": "1285658682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 S SHASTA CT",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850443980",
"telephone_number": "480-648-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 S SHASTA CT",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850443980",
"telephone_number": "480-648-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUZAK",
"first_name": "BIRSEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2022-11-06",
"certification_date": "2022-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "45857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01597424",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BIRSEN",
"last_name": "DODANLI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.