Active NPI
Modocurogyn, PLLC
Doing business as AzUrogynecology & Pelvic Health Center
- Specialist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35205
- Legal business name
- MODOCUROGYN, PLLC
- Doing business as
- AzUrogynecology & Pelvic Health Center
- Practice address
- 6632 E. Baseline Rd
Ste 101
Mesa, AZ 85206 - Phone
- (480) 889-2654
- Fax
- (480) 699-1022
- NPI assigned
- Oct 31, 2011
- Last updated
- Feb 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Akl, OWNER
- Title
- Ceo
- Phone
- (480) 889-2654
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35205 | AZ | Primary |
Addresses
Primary practice location
6632 E. Baseline Rd
Ste 101
Mesa, AZ 85206
Mailing address
6632 E. Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 889-2654
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094866 | Medicaid | AZ | |
| 663388 | Medicaid | AZ |
Other names 1
- AzUrogynecology & Pelvic Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5651 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (480) 889-2654
6632 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 889-2654
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Mesa, AZ
- NPI 1154388171
-
- Obstetrics & Gynecology Nurse Practitioner
- Chandler, AZ
- NPI 1225063563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1538445812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6632 E. BASELINE RD",
"address_2": "STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-889-2654",
"fax_number": "480-699-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6632 E. BASELINE RD",
"address_2": "STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-889-2654",
"fax_number": "480-699-1022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODOCUROGYN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-31",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "AKL",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-889-2654",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "35205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094866",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "663388",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AzUrogynecology & Pelvic Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.