Individual provider Active NPI

Mohamed Mahfouz Amin Abdelrahman, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
National Provider Identifier
1457606261
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
60036 Issued in AZ
Practice address
2929 E Camelback Rd Ste 116
Phoenix, AZ 85016-4425
Phone
(602) 698-5820
NPI assigned
Jul 17, 2012
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 293926 NY
Internal Medicine Physician 207R00000X 60036 AZ
Cardiovascular Disease Physician 207RC0000X 60036 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 60036 AZ Primary

Addresses

Primary practice location

2929 E Camelback Rd Ste 116
Phoenix, AZ 85016-4425

Mailing address

2929 E Camelback Rd Ste 116
Phoenix, AZ 85016-4425
Phone (602) 698-5820

Other practice location 1

525 E 68th St
New York, NY 10065-4870
Phone (212) 746-5454

Other practice location 2

500 W Thomas Rd Ste 750&850
Phoenix, AZ 85013-4224
Phone (602) 406-1150

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
I20200810001100 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7517261027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akash Makkar PLLCGroup PAC ID 5698014322, 6 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

10503 W Thunderbird Blvd
Suite 113
Sun City, AZ 85351-3047
Phone (602) 698-5820

2075 W Pecos Rd
Suite 2
Chandler, AZ 85224-5723
Phone (602) 698-5820

3185 N Windsong Dr
Prescott Valley, AZ 86314-2371
Phone (602) 698-5820

4150 N 108TH Ave
Suite 142
Phoenix, AZ 85037-5467
Phone (602) 698-5820

500 W Thomas Rd
850 Sjhmc Heart and Vascular Institute
Phoenix, AZ 85013-4218
Phone (602) 406-1150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293926NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Sep 1, 2023 Accepting new patients
Akash Makkar PLLC Clinical Cardiac Electrophysiology CurrentSince Aug 31, 2020 Accepting new patients
Kumar Ravi MD Facc PC Internal Medicine Past Accepting new patients
Arizona Heart Specialists PLLC Cardiovascular Disease Past Accepting new patients

Locations

2075 W Pecos Rd
Ste 1
Chandler, AZ 85224
Phone (480) 656-5711

2075 W Pecos Rd
Ste 2
Chandler, AZ 85224
Phone (480) 219-6840

13481 W McDowell Rd
Ste 400
Goodyear, AZ 85395
Phone (602) 837-7400

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2929 E Camelback Rd
Ste 116
Phoenix, AZ 85016
Phone (602) 325-2024

3501 N 24th St
Ste 101
Phoenix, AZ 85016

4150 N 108th Ave
Ste 142
Phoenix, AZ 85037
Phone (623) 242-9259

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

500 W Thomas Rd
Ste 750
Phoenix, AZ 85013
Phone (602) 406-1150

500 W Thomas Rd
Ste 850
Phoenix, AZ 85013
Phone (602) 406-1150

10503 W Thunderbird Blvd
Ste 113
Sun City, AZ 85351
Phone (623) 583-6420

12649 N 105th Ave
Sun City, AZ 85351

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mohamed.abdelrahman.1@18634.direct.athenahealth.com
  • Direct secure messaging: mohamed.abdelrahman.1@25130.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1457606261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164425",
            "telephone_number": "602-698-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164425",
            "telephone_number": "602-698-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-5454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Thomas Rd Ste 750&850",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134224",
            "country_code": "US",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELRAHMAN",
        "first_name": "MOHAMED",
        "middle_name": "MAHFOUZ AMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "293926",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "60036",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "60036",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "60036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.