Active NPI
Taif Mukhdomi, M.D.
- Interventional Pain Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 35.144105
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 779-3366
- NPI assigned
- Apr 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | LP04360 | RI | |
| Anesthesiology Physician | 207L00000X | 75027 | AZ | |
| Interventional Pain Medicine Physician | 208VP0014X | 35.144105 | OH | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 309546-01 | NY |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
PO Box 738247
Dallas, TX 75373-8247
Phone (614) 647-2526
Other practice location 1
5031 Forest Dr Ste C
New Albany, OH 43054-7088
Phone (614) 647-2526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
5031 Forest Dr
Suite C
New Albany, OH 43054-7088
Phone (614) 647-2526
6001 E Broad St
Columbus, OH 43213-1502
Phone (678) 690-7808
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP04360 | RI | MD | Pain Medicine (Anesthesiology) Physician |
| 309546-01 | NY | MD | Interventional Pain Medicine Physician |
| 35.144105 | OH | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Ohio LLC | Anesthesiology | Current | Accepting new patients |
| Pain Zero, LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Sandusky Anesthesia LLC | Current | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242
4207 Gantz Rd
Grove City, OH 43123
Phone (614) 647-2526
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
5031 Forest Dr
Ste C
New Albany, OH 43054
Phone (614) 647-2526
450 Alkyre Run
Ste 340
Westerville, OH 43082
Phone (614) 647-2526
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJGGCD
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.
-
- Interventional Pain Medicine Physician
- New Albany, OH
- NPI 1912652603
-
- Anesthesiology Physician
- Grove City, OH
- NPI 1699196022
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1427583566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 738247",
"city": "DALLAS",
"state": "TX",
"postal_code": "753738247",
"telephone_number": "614-647-2526",
"fax_number": "877-409-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-779-3366"
}
],
"practiceLocations": [
{
"address_1": "5031 Forest Dr Ste C",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "OH",
"postal_code": "430547088",
"country_code": "US",
"telephone_number": "614-647-2526",
"fax_number": "877-409-2415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKHDOMI",
"first_name": "TAIF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "RI",
"license": "LP04360",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "75027",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OH",
"license": "35.144105",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "309546-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.