Individual provider Active NPI

Sammy A Zakhary, M.D.

  • Vascular Surgery Physician
  • Glendale, AZ
National Provider Identifier
1447291893
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
40583 Issued in AZ
Practice address
6591 W Thunderbird Rd Ste D1
Glendale, AZ 85306-3720
Phone
(623) 258-3255
Fax
(623) 478-2215
NPI assigned
Jun 9, 2006
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X M5988 TX
Vascular Surgery Physician 2086S0129X MD422860 PA
Vascular Surgery Physician 2086S0129X 40583 AZ Primary

Addresses

Primary practice location

6591 W Thunderbird Rd Ste D1
Glendale, AZ 85306-3720

Mailing address

6591 W Thunderbird Rd Ste D1
Glendale, AZ 85306-3720
Phone (623) 258-3255

Other identifiers 1

IdentifierTypeStateIssuer
355317MedicaidAZ

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
I20080902000055 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 0749282291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6591 W Thunderbird Rd
Suite D1
Glendale, AZ 85306-3720
Phone 62325832550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.44 of 100Reported as individual
Quality
94.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal79
Leg revascularization (restoring blood flow)1-10
Removal of tissue284
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5988TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sammy Zakhary MD PC Vascular Surgery CurrentSince Apr 5, 2010 Accepting new patients
Roger J. Hucek, M.D., Inc. PastSince Apr 5, 2010 Accepting new patients
Southwest Kidney Institute Vascular Center LLC Past Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Vascular Surgery Past Accepting new patients
Peripheral Vascular Associates, P.a. Surgery PastSince Oct 1, 2012 Accepting new patients
Southwest Vascular Institute LTD Vascular Surgery Past Accepting new patients
Southwest Kidney Institute, PLC Past Accepting new patients

Locations

18700 N 64th Dr
Glendale, AZ 85308
Phone (480) 991-3005

18700 N 64th Dr
Ste 208
Glendale, AZ 85308
Phone (623) 258-3255

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6591 W Thunderbird Rd
Ste D1
Glendale, AZ 85306
Phone (602) 547-1623

14780 W Mountain View Blvd
Ste 120
Surprise, AZ 85374
Phone (602) 892-0917

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23543/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sammyzacharymd.sammyzachary@130354.advancedmd-direct.com

Organizations & group practices 7

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 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1447291893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 W THUNDERBIRD RD STE D1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063720",
            "telephone_number": "623-258-3255",
            "fax_number": "623-478-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 W THUNDERBIRD RD STE D1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063720",
            "telephone_number": "623-258-3255",
            "fax_number": "623-478-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHARY",
        "first_name": "SAMMY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-06-20",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M5988",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD422860",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "40583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355317",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.