Noushin Emami, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10017 Issued in AZ

Practice address

16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948

Phone

(623) 850-0026

Fax

(623) 850-0027

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Canyon Pain and Spine

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1518547769
  Medicare reassignment Care Compare group NPD
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1356052369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16928 W BELL RD STE 701",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748948",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16928 W BELL RD STE 701",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748948",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAMI",
        "first_name": "NOUSHIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207499",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terilea Jennifer Elkins, MPH, CHES
• Kari Ellefson
• Rylee Jean Ellett, AUD
• Rosemarie Margaret Ells, PT, DPT
• Elmer Place for Parents
• Emergent Mental Health Services LLC
• Andrea Emerson, LAC
• Empower Kids Az
• Endoscopy Anesthesia Service, PLLC
• Kristen Melissa Eng

• Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.