Individual provider Active NPI

Mary Ann Atia, MD

  • Gastroenterology Physician
  • Glendale, AZ
National Provider Identifier
1376851360
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
45749 Issued in AZ
Practice address
5823 W Eugie Ave
Ste a
Glendale, AZ 85304-1276
Phone
(602) 843-1265
Fax
(602) 843-1297
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 45749 AZ Primary

Addresses

Primary practice location

5823 W Eugie Ave
Ste a
Glendale, AZ 85304-1276

Mailing address

3020 E Camelback Rd
Suite 301
Phoenix, AZ 85016-5095
Phone (602) 264-9100

Other identifiers 1

IdentifierTypeStateIssuer
719963MedicaidAZ

Other names 1

  • Mary Ann Kamel Former name

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
I20121009000524 AZ Practitioner - Gastroenterology 6305095258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

5823 W Eugie Ave
Suite a
Glendale, AZ 85304-1277
Phone (602) 843-1265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Advanced Retina and Eye Cancer Center, LLC PastSince Oct 1, 2015 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

603 W Baseline Rd
Ste 200
Mesa, AZ 85210
Phone (480) 461-1088

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016

3707 N 7th St
Ste 200
Phoenix, AZ 85014
Phone (602) 264-9100

20033 N 19th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 397-9560

21321 E Ocotillo Rd
Ste 114
Queen Creek, AZ 85142
Phone (480) 461-1088

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1376851360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165095",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE",
            "address_2": "STE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041276",
            "telephone_number": "602-843-1265",
            "fax_number": "602-843-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIA",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "45749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719963",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KAMEL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.