Individual provider Active NPI

Siamac Yazdchi, MD

  • Cardiovascular Disease Physician
  • Chandler, AZ
National Provider Identifier
1457746018
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
57012 Issued in AZ
Practice address
1125 S Alma School Rd Ste 310
Chandler, AZ 85286-2812
Phone
(480) 733-7305
Fax
(480) 733-7306
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 57012 AZ Primary

Addresses

Primary practice location

1125 S Alma School Rd Ste 310
Chandler, AZ 85286-2812

Mailing address

1125 S Alma School Rd Ste 310
Chandler, AZ 85286-2812
Phone (480) 733-7305

Other practice location 1

6424 E Broadway Rd Ste 105
Mesa, AZ 85206-1750
Phone (480) 733-7350

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
I20180927001319 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 1759632946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

6424 E Broadway Rd
Suite 105
Mesa, AZ 85206-1750
Phone (480) 684-6487

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147
  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57012AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC Single Specialty Current Accepting new patients
Banner - University Hospital Based Physicians LLC Single Specialty CurrentSince Aug 6, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Oct 30, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Banner - University Physician Specialists LLC Single Specialty CurrentSince Oct 30, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC Single Specialty CurrentSince Aug 6, 2018 Accepting new patients
Banner Physician Specialists Arizona LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

1125 S Alma School Rd
Ste 310
Chandler, AZ 85286
Phone (480) 684-6157

1520 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 412-8080

6424 E Broadway Rd
Ste 105
Mesa, AZ 85206
Phone (480) 248-3000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1457746018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S ALMA SCHOOL RD STE 310",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862812",
            "telephone_number": "480-733-7305",
            "fax_number": "480-733-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S ALMA SCHOOL RD STE 310",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862812",
            "telephone_number": "480-733-7305",
            "fax_number": "480-733-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6424 E Broadway Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061750",
            "country_code": "US",
            "telephone_number": "480-733-7350",
            "fax_number": "480-896-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDCHI",
        "first_name": "SIAMAC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "57012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.