Active NPI
Luis Vazquez, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 006403
- Practice address
- 2340 E Beardsley Rd
Suite 260
Phoenix, AZ 85024-1285 - Phone
- (602) 802-8240
- Fax
- (602) 802-8245
- NPI assigned
- Jun 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101018092 | MI | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 006403 | AZ | Primary |
Addresses
Primary practice location
2340 E Beardsley Rd
Suite 260
Phoenix, AZ 85024-1285
Mailing address
2340 E Beardsley Rd
Suite 260
Phoenix, AZ 85024-1285
Phone (602) 802-8240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 923114 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2340 E Beardsley Rd
Suite 260
Phoenix, AZ 85024-1287
Phone (602) 802-8240
Hospital & facility affiliations
- Honorhealth Deer Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018092 | MI | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Kids Pediatrics P.C. | Current | Accepting new patients | |
| Elite ENT | Otolaryngology | Current | Accepting new patients |
| Pinnacle ENT & Allergy Consultants LLC | Past | Accepting new patients |
Locations
1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 300-4741
6710 W Camelback Rd
Ste A
Glendale, AZ 85303
1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741
1157 S Crismon Rd
Unit 102
Mesa, AZ 85208
1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315
2340 E Beardsley Rd
Ste 260
Phoenix, AZ 85024
Phone (602) 482-0756
825 W Southern Ave
Ste 106
Phoenix, AZ 85041
Phone (602) 243-3429
3415 W Glendale Ave
Ste 32A
Phoenix, AZ 85051
Phone (602) 246-7462
2033 E Warner Rd
Ste 109
Tempe, AZ 85284
Phone (480) 820-5525
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDAIAD/Endpoint/CDAIAD
- https://fhir4.healow.com/fhir/r4/CDAIAD
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Phoenix, AZ
- NPI 1457801300
-
- Pediatrics Physician
- Tempe, AZ
- NPI 1821288606
-
- Facial Plastic Surgery Physician
- Phoenix, AZ
- NPI 1811555014
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1437387883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 E BEARDSLEY RD",
"address_2": "SUITE 260",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241285",
"telephone_number": "602-802-8240",
"fax_number": "602-802-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 E BEARDSLEY RD",
"address_2": "SUITE 260",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241285",
"telephone_number": "602-802-8240",
"fax_number": "602-802-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "5101018092",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "AZ",
"license": "006403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "923114",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.