NPIMap

Individual provider Active NPI

Martin Paul Zomaya, M.D.

  • Vascular Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1467744490
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
56031 Issued in AZ
Practice address
6040 N 7TH St Ste 105
Phoenix, AZ 85014-1803
Phone
(602) 277-7430
Fax
(602) 279-5333
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 56031 AZ Primary

Addresses

Primary practice location

6040 N 7TH St Ste 105
Phoenix, AZ 85014-1803

Mailing address

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 258-9900

Other practice location 1

1215 N Beaver St
Flagstaff, AZ 86001-3126
Phone (928) 773-2200

Other identifiers 1

IdentifierTypeStateIssuer
379831MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530002083 AZ Practitioner - Vascular Surgery 4789949496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians
Sandstone Medical Alliance LLCGroup PAC ID 1759852775, 8 clinicians

Practice addresses (Care Compare)

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201

6040 N 7TH St
Suite 105
Phoenix, AZ 85014-1803
Phone (602) 277-7430

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion87
Varicose vein removal12
Leg revascularization (restoring blood flow)20
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56031AZMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Zomaya MD PLLC Vascular Surgery Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jun 15, 2020 Accepting new patients
Arizona Advanced Surgery LLC Surgery CurrentSince Apr 1, 2020 Accepting new patients
Northern Arizona Healthcare Corporation Surgery CurrentSince Jun 15, 2020 Accepting new patients
Sandstone Medical Alliance LLC Vascular Surgery Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2200

1895 N Jasper Dr
Ste 1
Flagstaff, AZ 86001
Phone (928) 213-6527

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

6040 N 7th St
Ste 105
Phoenix, AZ 85014
Phone (602) 277-7430

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

3033 N Central Ave
Ste 610
Phoenix, AZ 85012
Phone (602) 266-1556

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

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.

Hospital & facility affiliations 11

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1467744490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041303",
            "telephone_number": "602-258-9900",
            "fax_number": "602-258-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 N 7TH ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141803",
            "telephone_number": "602-277-7430",
            "fax_number": "602-279-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013126",
            "country_code": "US",
            "telephone_number": "928-773-2200",
            "fax_number": "928-773-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOMAYA",
        "first_name": "MARTIN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "56031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379831",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.