NPIMap

Individual provider Active NPI

Syed K Masood, M.D.

  • Nephrology Physician
  • Mesa, AZ
National Provider Identifier
1326034810
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34358 Issued in AZ
Practice address
215 S Power Rd Ste 104
Mesa, AZ 85206-5236
Phone
(480) 924-2288
Fax
(480) 924-4488
NPI assigned
Sep 21, 2005
Last updated
Nov 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34358 AZ Primary

Addresses

Primary practice location

215 S Power Rd Ste 104
Mesa, AZ 85206-5236

Mailing address

215 S Power Rd Ste 104
Mesa, AZ 85206-5236
Phone (480) 924-2288

Other identifiers 2

IdentifierTypeStateIssuer
110224402OtherAZRAIL ROAD MEDICARE
973504MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000162 AZ Practitioner - NephrologyPractitioner - Internal Medicine 9234158833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 S Power Rd
Mesa, AZ 85206-5236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.63 of 100Reported as individual
Quality
63.24
Improvement activities
40
Cost
71.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34358AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S K Masood MD PA Nephrology CurrentSince Nov 8, 2000 Accepting new patients

Locations

215 S Power Rd
Ste 104
Mesa, AZ 85206
Phone (480) 924-2288

Interoperability endpoints

  • Direct secure messaging: gehsmasoo@yourcarecommunity.org

Organizations & group practices 1

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1326034810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S POWER RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065236",
            "telephone_number": "480-924-2288",
            "fax_number": "480-924-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065236",
            "telephone_number": "480-924-2288",
            "fax_number": "480-924-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "SYED",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "34358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110224402",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973504",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.