Individual provider Active NPI

Thomas M Moshiri, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1487628442
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34825 Issued in AZ
Practice address
24 W Camelback Rd Unit A567
Phoenix, AZ 85013-2529
Phone
(602) 441-3573
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 34825 AZ Primary
Anesthesiology Physician 207L00000X 34825 AZ

Addresses

Primary practice location

24 W Camelback Rd Unit A567
Phoenix, AZ 85013-2529

Mailing address

24 W Camelback Rd Unit A567
Phoenix, AZ 85013-2529
Phone (424) 322-0980

Other identifiers 4

IdentifierTypeStateIssuer
122856MedicaidAZ
9568MOOtherWAINDIVIDUAL BLUE SHIELD
0039515OtherWAL& I
8441644MedicaidWA

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
I20060731000134 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 2466471834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Vermont College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

Practice addresses (Care Compare)

9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone (480) 563-6400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead North Surgery Center CurrentSince Jul 1, 2022 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince May 22, 2023 Accepting new patients
Hayden Surgical Center LLC CurrentSince Dec 26, 2019 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince May 22, 2023 Accepting new patients
Medical Strategies LLC Interventional Pain Medicine PastSince Feb 27, 2022 Accepting new patients
Anodyne Solutions PLLC Interventional Pain Medicine PastSince Feb 27, 2022 Accepting new patients
Physical Medicine of Chandler LLC PastSince May 1, 2020 Accepting new patients
Apr DME LLC PastSince Apr 13, 2019 Accepting new patients
Western Med Group LLC Interventional Pain Medicine Past Accepting new patients

Locations

3624 W Anthem Way
Ste C108
Anthem, AZ 85086
Phone (623) 551-9950

1055 W Queen Creek Rd
Ste 3
Chandler, AZ 85248
Phone (480) 485-9963

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

1515 N Gilbert Rd
Ste D101
Gilbert, AZ 85234
Phone (480) 838-6696

1704 E Boston St
Gilbert, AZ 85295
Phone (480) 656-8600

6859 E Rembrandt Ave
Mesa, AZ 85212
Phone (480) 389-4516

13460 N 94th Dr
Peoria, AZ 85381
Phone (623) 223-1036

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

20255 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 225-7154

13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

3001 E Camelback Rd
Ste 155
Phoenix, AZ 85016
Phone (602) 234-2611

10611 N Hayden Rd
Ste 102D
Scottsdale, AZ 85260
Phone (480) 307-8258

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

Organizations & group practices 9

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1487628442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W CAMELBACK RD UNIT A567",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132529",
            "telephone_number": "424-322-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W CAMELBACK RD UNIT A567",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132529",
            "telephone_number": "602-441-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHIRI",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "34825",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "34825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122856",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BLUE SHIELD",
            "identifier": "9568MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L& I",
            "identifier": "0039515",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8441644",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.