Individual provider Active NPI

Mohammad Munzer Nasser, MD

  • Hospitalist Physician
  • Goodyear, AZ
National Provider Identifier
1376835157
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
51446 Issued in AZ
Practice address
13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626
Phone
(623) 295-1190
Fax
(602) 429-8595
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51446 AZ
Hospitalist Physician 208M00000X 51446 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626

Mailing address

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395-2626
Phone (623) 295-1190

Other practice location 1

22922 N 40th Pl
Phoenix, AZ 85050-8742
Phone (623) 295-1190

Other identifiers 1

IdentifierTypeStateIssuer
095137MedicaidAZ

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
I20151230001268 AZ Practitioner - Internal Medicine 4880996321 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Wounds PLLCGroup PAC ID 2860634250, 5 clinicians
Leading Healthcare Clinic of Goodyear, LLCGroup PAC ID 7315377371, 5 clinicians
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

1012 E Willetta St
Phoenix, AZ 85006-2749
Phone (602) 839-6040

13555 W McDowell Rd
Suite 205
Goodyear, AZ 85395-2626
Phone (623) 295-1190

13575 W McDowell Rd
Goodyear, AZ 85395-2604
Phone (623) 536-9911

Hospital & facility affiliations

  • Dignity Hospice Hospice, Phoenix, AZ, CCN 031675
  • Select Specialty Hospital Arizona Long-term care hospital, Phoenix, AZ, CCN 032005
  • Phoenix Specialty Hospital Long-term care hospital, Mesa, AZ, CCN 032006
  • Haven Health Sky Harbor, LLC Nursing home, Phoenix, AZ, CCN 035290
  • Citrus Heights Respiratory and Rehabilitation Nursing home, Mesa, AZ, CCN 035193
  • South Mountain Post Acute Nursing home, Phoenix, AZ, CCN 035241
  • Desert Peak Care Center Nursing home, Phoenix, AZ, CCN 035175
  • Desert Cove Nursing Center Nursing home, Chandler, AZ, CCN 035095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51446AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jun 5, 2017 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Oct 4, 2017 Accepting new patients
Leading Healthcare, LLC Hospitalist CurrentSince Aug 27, 2017 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Oct 4, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Desert Wounds, PLLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jun 5, 2017 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Internal Medicine CurrentSince Sep 17, 2019 Accepting new patients
Chandler United Medical Investors Limited Partnership Past Accepting new patients
Select Specialty Hospital - Arizona Inc Past Accepting new patients
Phoenix Az Opco LLC Past Accepting new patients
Salt Creek Healthcare LLC Past Accepting new patients
Haven Health Sky Harbor LLC Past Accepting new patients
Allegiant Healthcare of Phoenix LLC Past Accepting new patients
Phoenix Specialty Hospital Past Accepting new patients
Leading Healthcare Specialist PLLC Internal Medicine PastSince Dec 1, 2019 Accepting new patients
Aztec Healthcare, Inc. Past Accepting new patients
Allegiant Healthcare West, LLC Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

5025 S Ash Ave
Ste A
Tempe, AZ 85282
Phone (602) 806-6146

1200 S Castle Dome Ave
Yuma, AZ 85365

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Group ManagementPhoenix, AZ, CCN 035290 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 13, 2025
Jan 13, 2025
Dignity HospicePhoenix, AZ, CCN 031675 Hospice Contracted Managing Employee
5% Or Greater Indirect Ownership Interest (33.3%)
Operational/Managerial Control
Mar 28, 2026
Dec 1, 2022
Mar 28, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1376835157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22922 N 40th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850508742",
            "country_code": "US",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "MOHAMMAD",
        "middle_name": "MUNZER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "51446",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "51446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095137",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.