Organization Active NPI

Precision Hand and Orthopedic Surgery PLLC

  • Orthopaedic Surgery Physician
  • Peoria, AZ
National Provider Identifier
1508535733
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PRECISION HAND AND ORTHOPEDIC SURGERY PLLC
Practice address
13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Phone
(623) 264-3300
Fax
(833) 913-2307
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Tanay Jagdish Amin, MDNPI 1013170232
Title
President
Phone
(623) 264-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258

Mailing address

13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Phone (623) 264-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220408000550 AZ Part B Supplier - Clinic/Group Practice 5698161123 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ
O20220627000412 AZ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5698161123 Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

13090 N 94th Dr
Ste 204
Peoria, AZ 85381
Phone (623) 264-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24960/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1508535733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 204",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "623-264-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 204",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "623-264-3300",
            "fax_number": "833-913-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HAND AND ORTHOPEDIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "TANAY",
        "authorized_official_middle_name": "JAGDISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-264-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.