Active NPI
Prime Anesthesia Consultants, LLC
- Pain Medicine (Anesthesiology) Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PRIME ANESTHESIA CONSULTANTS, LLC
- Practice address
- 1810 S Crismon Rd Ste 188
Mesa, AZ 85209-3900 - Phone
- (480) 900-7373
- Fax
- (480) 900-6844
- NPI assigned
- Sep 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zeeshan Malik, DO
- Title
- Physician Owner
- Phone
- (702) 374-2910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1810 S Crismon Rd Ste 188
Mesa, AZ 85209-3900
Mailing address
1810 S Crismon Rd Ste 188
Mesa, AZ 85209-3900
Phone (480) 900-7373
Other practice location 1
1641 E Osborn Rd Ste 6
Phoenix, AZ 85016-7146
Phone (480) 900-7373
Other practice location 2
535 E McKellips Rd Ste 121
Mesa, AZ 85203-2527
Phone (480) 900-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
535 E McKellips Rd
Ste 121
Mesa, AZ 85203
Phone (480) 685-1027
1810 S Crismon Rd
Ste 188
Mesa, AZ 85209
Phone (480) 900-7373
10603 N Hayden Rd
Ste 100
Scottsdale, AZ 85260
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Mesa, AZ
- NPI 1427491174
-
- Interventional Pain Medicine Physician
- Gilbert, AZ
- NPI 1760778906
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1831535350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1306496336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 S CRISMON RD STE 188",
"city": "MESA",
"state": "AZ",
"postal_code": "852093900",
"telephone_number": "480-900-7373",
"fax_number": "480-900-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 S CRISMON RD STE 188",
"city": "MESA",
"state": "AZ",
"postal_code": "852093900",
"telephone_number": "480-900-7373",
"fax_number": "480-900-6844"
}
],
"practiceLocations": [
{
"address_1": "1641 E Osborn Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850167146",
"country_code": "US",
"telephone_number": "480-900-7373",
"fax_number": "480-900-6844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 E McKellips Rd Ste 121",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852032527",
"country_code": "US",
"telephone_number": "480-900-7373",
"fax_number": "480-900-6844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRIME ANESTHESIA CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "ZEESHAN",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "702-374-2910",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.