Individual provider Active NPI

Daniel D Charous, MD

  • Otolaryngology Physician
  • Goodyear, AZ
National Provider Identifier
1326017336
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
33826 Issued in AZ
Practice address
13555 W McDowell Rd Ste 209
Goodyear, AZ 85395
Phone
(623) 512-4199
Fax
(623) 512-4176
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 33826 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 209
Goodyear, AZ 85395

Mailing address

13555 W McDowell Rd Ste 209
Goodyear, AZ 85395-2628
Phone (623) 512-4199

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
I20050516000870 AZ Practitioner - Otolaryngology 1153362546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Desert Ear Nose and Throat Specialist PLLCGroup PAC ID 5890105530, 7 clinicians

Practice addresses (Care Compare)

2111 E Highland Ave
Suite 431B
Phoenix, AZ 85016-4735
Phone (623) 512-4162

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33826AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Desert Ear Nose & Throat Specialist, PLLC Otolaryngology CurrentSince Jul 8, 2018 Accepting new patients
Biltmore Ear Nose and Throat, PC Otolaryngology Past Accepting new patients
Andrew B Mangum MD PLLC Past Accepting new patients
Vigilance Anesthesiology Physician Resources PLLC Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700

13555 W McDowell Rd
Ste 209
Goodyear, AZ 85395
Phone (623) 512-4162

1355 N Litchfield Rd
Ste 135
Goodyear, AZ 85395
Phone (623) 512-4199

2111 E Highland Ave
Ste B431
Phoenix, AZ 85016

2111 E Highland Ave
Ste 431B
Phoenix, AZ 85016
Phone (623) 512-4162

Interoperability endpoints

  • Direct secure messaging: dcharous@azdesertent.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1326017336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952628",
            "telephone_number": "623-512-4199",
            "fax_number": "623-512-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-512-4199",
            "fax_number": "623-512-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAROUS",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "33826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.