NPIMap

Individual provider Active NPI

Afshin Deyhimpanah, MD

  • Hospitalist Physician
  • Chandler, AZ
National Provider Identifier
1366650186
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-6175 Issued in AR
Practice address
2040 S Alma School Rd
Suite # 1, PMB #178
Chandler, AZ 85286-7075
Phone
(480) 728-3000
NPI assigned
May 18, 2007
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
Hospitalist Physician 208M00000X E-6175 AR Primary
Hospitalist Physician 208M00000X 255633 NY
Hospitalist Physician 208M00000X 41085 AZ
Hospitalist Physician 208M00000X A111794 CA

Addresses

Primary practice location

2040 S Alma School Rd
Suite # 1, PMB #178
Chandler, AZ 85286-7075

Mailing address

2040 S Alma School Rd
Suite # 1, PMB #178
Chandler, AZ 85286-7075
Phone (480) 728-3000

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
I20081210000234 AZ Practitioner - Internal Medicine 0143381079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Hospitalists, PLLCGroup PAC ID 0941290290, 50 clinicians

Practice addresses (Care Compare)

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (888) 488-7640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6175ARMDHospitalist Physician
41085AZMDHospitalist Physician
A111794CAMDHospitalist Physician
255633NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Prodigee Inpatient Physicians Group, P.L.L.C. Hospitalist Past Accepting new patients
Gregg Smith D.O., P.C. Hospitalist Past Accepting new patients
Pioneer Medical Group PLLC Internal Medicine Past Accepting new patients

Locations

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1366650186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD",
            "address_2": "SUITE # 1, PMB #178",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867075",
            "telephone_number": "480-728-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD",
            "address_2": "SUITE # 1, PMB #178",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867075",
            "telephone_number": "480-728-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYHIMPANAH",
        "first_name": "AFSHIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-6175",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "255633",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "41085",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A111794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.