Individual provider Active NPI

Ali Rajaei-Tehrani, DO

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1447337647
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4383 Issued in AZ
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

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
159537MedicaidAZ

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
I20070129000343 AZ Practitioner - Internal Medicine 9335140649 Reassigns benefits to 3 organizations

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
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians
Gaia Virtual Medicine LLCGroup PAC ID 0648632802, 5 clinicians

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

LicenseStateTypeSpecialty
4383AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Wellness Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Phoenician Medical Center, Inc Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Gaia Virtual Medicine. LLC CurrentSince Nov 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.