Individual provider Active NPI

Moiz Mohammad Dawood

  • Nephrology Physician
  • Henderson, NV
National Provider Identifier
1407240716
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19176 Issued in NV
Practice address
229 N Pecos Rd Ste 120
Henderson, NV 89074-7364
Phone
(702) 629-7510
NPI assigned
Mar 25, 2015
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X NM
Nephrology Physician 207RN0300X MO2021-0309 NM
Nephrology Physician 207RN0300X MD2021-0309 NM
Nephrology Physician 207RN0300X 67807 AZ
Nephrology Physician 207RN0300X 19176 NV Primary

Addresses

Primary practice location

229 N Pecos Rd Ste 120
Henderson, NV 89074-7364

Mailing address

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883

Other practice location 1

Department Of Nephrology 1 University Of New Mexico
Albuquerque, NM 87131-2244
Phone (505) 272-6225

Other practice location 2

2040 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2244
Phone (702) 671-2341

Other practice location 3

3320 N 2nd St
Phoenix, AZ 85012-2319
Phone (602) 200-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ, NV, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220105001577 NM Practitioner - NephrologyPractitioner - Internal Medicine 1658689302 Reassigns benefits to 1 organization
I20220927003015 AZ Practitioner - NephrologyPractitioner - Internal Medicine 1658689302 Reassigns benefits to 3 organizations
I20231222000479 NV Practitioner - NephrologyPractitioner - Internal Medicine 1658689302
I20240923003940 CA Practitioner - Nephrology 1658689302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Kidney Institute Vascular Center LLCGroup PAC ID 4183801350, 6 clinicians
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians
San Joaquin Kidney Clinic, IncGroup PAC ID 8527009158, 8 clinicians

Practice addresses (Care Compare)

1100 E University Dr
Suite 102
Tempe, AZ 85288-8401
Phone (480) 610-6152

14671 W Mountain View Blvd
Suite 112
Surprise, AZ 85374-4840
Phone (480) 610-6100

1801 E March LN
Suite B265
Stockton, CA 95210-6655
Phone (209) 546-1868

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19176NVMDPharmacist
MO2021-0309NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Nephrology Center of Nevada PLLC Nephrology CurrentSince Oct 31, 2023 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
San Joaquin Kidney Clinic, Inc CurrentSince May 19, 2025 Accepting new patients
Unm Medical Group, Inc. CurrentSince Sep 29, 2021 Accepting new patients
County of San Joaquin CurrentSince Apr 1, 2025 Accepting new patients
Pinnacle Sjir CurrentSince Nov 1, 2024 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Sep 6, 2022 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Sep 6, 2022 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Mar 3, 2026 Accepting new patients
County of San Joaquin CurrentSince Apr 1, 2025 Accepting new patients
Unm Medical Group Inc CurrentSince Sep 29, 2021 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Mar 3, 2026 Accepting new patients

Locations

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

7362 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (480) 610-6152

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

3330 N 2nd St
Ste 206
Phoenix, AZ 85012
Phone (602) 279-7871

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

14671 W Mountain View Blvd
Ste 112
Surprise, AZ 85374

1100 E University Dr
Ste 102
Tempe, AZ 85288
Phone (480) 610-6152

325 S Euclid Ave
Ste 109
Tucson, AZ 85719
Phone (480) 610-6152

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

801 S Ham Ln
Ste J
Lodi, CA 95242
Phone (209) 369-7336

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1801 E March Ln
Ste B265
Stockton, CA 95210
Phone (209) 369-7336

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

229 N Pecos Rd
Ste 120
Henderson, NV 89074
Phone (631) 793-4531

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

10620 Southern Highlands Pkwy
Ste 110
Las Vegas, NV 89141
Phone (702) 210-9560

10620 Southern Highlands Pkwy
Ste 110104
Las Vegas, NV 89141

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1407240716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-629-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Nephrology 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871312244",
            "country_code": "US",
            "telephone_number": "505-272-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 W Charleston Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022244",
            "country_code": "US",
            "telephone_number": "702-671-2341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122319",
            "country_code": "US",
            "telephone_number": "602-200-8288",
            "fax_number": "602-200-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "MOIZ",
        "middle_name": "MOHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MO2021-0309",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2021-0309",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "67807",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "19176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.