Individual provider Active NPI

Ramiz Audi, RAMIZ AUDI

  • Child & Adolescent Psychiatry Physician
  • Chandler, AZ
National Provider Identifier
1467659193
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
55098 Issued in AZ
Practice address
1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117
Phone
(480) 306-5151
Fax
(480) 306-4648
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101256442 VA
Student in an Organized Health Care Education/Training Program 390200000X LL16619 OR
Child & Adolescent Psychiatry Physician 2084P0804X 55098 AZ Primary

Addresses

Primary practice location

1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117

Mailing address

1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117
Phone (480) 306-5151

Other identifiers 2

IdentifierTypeStateIssuer
C05149OtherVAGROUP PTAN
330609MedicaidAZ

Other names 1

  • Ramiz Audi Professional name

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
I20171113003321 AZ Practitioner - Psychiatry 4385967587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

11221 N 28TH Dr
BLDG E
Phoenix, AZ 85029-5615
Phone (602) 997-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101256442VAMDPsychiatry Physician
LL16619ORMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services CurrentSince Dec 1, 2024 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Agave Solutions PLLC Psychiatry CurrentSince Sep 1, 2025 Accepting new patients

Locations

10550 W McDowell Rd
Avondale, AZ 85392
Phone (480) 565-3035

2190 N Grace Blvd
Chandler, AZ 85225
Phone (480) 470-0069

20118 N 67th Ave
Ste 300609
Glendale, AZ 85308
Phone (602) 857-8182

3322 S Ellsworth Rd
Mesa, AZ 85212
Phone (505) 531-0818

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

11221 N 28th Dr
Bldg E
Phoenix, AZ 85029
Phone (602) 892-5155

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

Interoperability endpoints

  • Direct secure messaging: ramiz.audi.1@24259.direct.athenahealth.com

Organizations & group practices 4

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1467659193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852255117",
            "telephone_number": "480-306-5151",
            "fax_number": "480-306-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 E CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852255117",
            "telephone_number": "480-306-5151",
            "fax_number": "480-306-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDI",
        "first_name": "RAMIZ",
        "credential": "RAMIZ AUDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101256442",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "LL16619",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "55098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C05149",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330609",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMIZ",
            "last_name": "AUDI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.