NPIMap

Individual provider Active NPI

Feras Aldaoud

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1285801019
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44177 Issued in AZ
Practice address
2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Phone
(480) 718-0568
NPI assigned
May 12, 2008
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57-012744 OH
Hospitalist Physician 208M00000X 44177 AZ
Internal Medicine Physician 207R00000X 44177 AZ Primary

Addresses

Primary practice location

2075 S Cottonwood Dr
Tempe, AZ 85282-3040

Mailing address

2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Phone (480) 718-0568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110326000015 AZ Practitioner - Internal Medicine 8628261427 Reassigns benefits to 1 organization
I20170630001031 TX Practitioner - Internal Medicine 8628261427 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-012744OHMDInternal Medicine Physician
44177AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 12, 2017 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 12, 2017 Accepting new patients
A-Z Healthcare Services Inc CurrentSince Jun 26, 2023 Accepting new patients
Kidney Guardian Internal Medicine PastSince Oct 1, 2012 Accepting new patients
Seasons Hospice & Palliative Care of Arizona, LLC PastSince Nov 1, 2020 Accepting new patients
Homestead Hospice of Phoenix LLC PastSince Jul 1, 2017 Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

14362 N Frank Lloyd Wright Blvd
Ste 1000
Scottsdale, AZ 85260
Phone (480) 948-6222

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Best Support Hospice IncPhoenix, AZ, CCN 031791 Hospice W-2 Managing Employee (100%) Dec 26, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1285801019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-718-0568",
            "fax_number": "480-307-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-718-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAOUD",
        "first_name": "FERAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57-012744",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "44177",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.