Active NPI
Ali Rajaei-Tehrani, DO
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4383
- Practice address
- 7550 N 19TH Ave
C-142
Phoenix, AZ 85021-7980 - Phone
- (602) 973-3100
- Fax
- (602) 973-0978
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4383 | AZ | Primary |
Addresses
Primary practice location
7550 N 19TH Ave
C-142
Phoenix, AZ 85021-7980
Mailing address
PO Box 41908
Phoenix, AZ 85080-1908
Phone (602) 973-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159537 | 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
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16515 S 40TH St
Suite 139
Phoenix, AZ 85048-0560
Phone (480) 963-1853
2680 S Val Vista Dr
BLDG 9 RM 13 Suite 146
Gilbert, AZ 85295-2152
Phone (623) 888-6266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4383 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Wellness Center, LLC | Current | Accepting new patients | |
| Phoenician Medical Center, Inc | Internal Medicine | Current | Accepting new patients |
| Gaia Virtual Medicine. LLC | Current | Accepting new patients | |
| Banner Sun City Medical Group | Past | Accepting new patients |
Locations
1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588
1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447
2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680
6677 W Thunderbird Rd
Ste C142
Glendale, AZ 85306
Phone (623) 247-1081
4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013
10184 W Happy Valley Pkwy
Ste 180
Peoria, AZ 85383
Phone (623) 322-5992
7620 W Lower Buckeye Rd
Ste 102
Phoenix, AZ 85043
Phone (623) 776-2225
16515 S 40th St
Ste 139
Phoenix, AZ 85048
Phone (480) 706-0174
2228 W Northern Ave
Ste B202
Phoenix, AZ 85021
Phone (480) 346-9522
7550 N 19th Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 973-3100
202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072
6025 N 27th Ave
Ste 7
Phoenix, AZ 85017
Phone (602) 296-5440
Interoperability endpoints
- resourcehealthcare.alirajaeitehran@155568.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1891895637
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1194335802
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1730800475
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1134118656
-
- Multi-Specialty Clinic/Center
- Sun City, AZ
- NPI 1902067200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1447337647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41908",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850801908",
"telephone_number": "602-973-3100",
"fax_number": "602-973-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 N 19TH AVE",
"address_2": "C-142",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217980",
"telephone_number": "602-973-3100",
"fax_number": "602-973-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAEI-TEHRANI",
"first_name": "ALI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "4383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159537",
"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 Nov 17, 2014; 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.