John R Ehteshami, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

41787 Issued in AZ

Practice address

20280 N 59TH Ave Ste 115-345
Glendale, AZ 85308-6850

Phone

(480) 656-4220

Fax

(480) 656-1554

NPI assigned

May 19, 2008

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
• The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cervical Spine Centers, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Glendale, AZ
  • NPI 1780062133
  Medicare reassignment Authorized official
• Naveed Vehra MD PLLC

  • Neurology Physician
  • Glendale, AZ
  • NPI 1891930061
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orthopedic and Surgical Specialty Company, LLC

  dba Arizona Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1124163530
  Care Compare affiliation
• Surgical Specialty Hospital of Arizona, LLC

  dba The Core Institute Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1902881295
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1457518391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-345",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "480-656-4220",
            "fax_number": "480-656-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-345",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "480-656-4220",
            "fax_number": "480-656-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTESHAMI",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "41787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487862",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela (Pam) Ann Edwards
• Zakeyia Edwards
• Michael Egan, M.D.
• Eh Home Health of the West, LLC (Enhabit Home Health)
• Susan Ehrler
• Christopher John Eid, MA, BCBA
• Eugene Eihausen, NMD
• Crystal Marie Eimer, CNA
• Richard N Eisen, M.D
• David Alan Eisenbise, DNP, FNP-BC

• Orthopaedic Surgery of the Spine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Orthopaedic Surgery of the Spine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.