Feras Aldaoud
Individual provider Active NPI Internal Medicine Physician · Tempe, AZ
NPI 1285801019 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1285801019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 44177 (AZ)
- Practice address
- 2075 S Cottonwood Dr
Tempe, AZ 85282-3040 - Phone
- (480) 718-0568
- NPI assigned
- May 12, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Best Support Hospice Inc |
Hospice | W-2 Managing Employee (100%) | Dec 26, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57-012744 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-Z Healthcare Services Inc | Current |
Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Seasons Hospice & Palliative Care of Arizona, LLC | Past |
Accepting new patients | |
| Kidney Guardian | Internal Medicine | Past |
Accepting new patients |
| Homestead Hospice of Phoenix LLC | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57-012744 | OH | |
| Hospitalist Physician | 208M00000X | 44177 | AZ | |
| Internal Medicine Physician | 207R00000X | 44177 | AZ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 595199 | Medicaid | AZ |
Other providers in Tempe, AZ
- Allison Alatorre Contreras
- Lana H Alawwad Haddad
- Barbara Alene Albrecht
- Eduardo Salcido Alcantar Sr.
- Stacy Alcantar
- Antonio M Alduino
- Nathalie Alejandro
- Alevea Mental Health LLC
- Alex Kim MD PC
- Alexis M. Alexander
All providers in Tempe, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.