Individual provider Active NPI

Taif Mukhdomi, M.D.

  • Interventional Pain Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1427583566
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35.144105 Issued in OH
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

Updated by the provider on May 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220425001837 OH Practitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Anesthesiology 2769878073 Reassigns benefits to 3 organizations
I20241220003230 AZ Practitioner - Anesthesiology 2769878073 Reassigns benefits to 1 organization

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
Pain Zero, LLCGroup PAC ID 1850787169, 5 clinicians
Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
LP04360RIMDPain Medicine (Anesthesiology) Physician
309546-01NYMDInterventional Pain Medicine Physician
35.144105OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Ohio LLC Anesthesiology CurrentSince Sep 27, 2023 Accepting new patients
Pain Zero, LLC Interventional Pain Medicine CurrentSince Feb 21, 2022 Accepting new patients
Sandusky Anesthesia LLC CurrentSince Jun 28, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.