Organization Active NPI

Alsham Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Chandler, AZ
National Provider Identifier
1558597302
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
32215 Issued in AZ
Legal business name
ALSHAM ENDOCRINOLOGY
Practice address
3250 W Harrison St
Chandler, AZ 85226-2379
Phone
(480) 275-4938
Fax
(480) 275-6626
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mohamad H Horani, MDNPI 1710944327
Title
Proprietor
Phone
(480) 275-4938

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 32215 AZ Primary

Addresses

Primary practice location

3250 W Harrison St
Chandler, AZ 85226-2379

Mailing address

PO Box 6746
Chandler, AZ 85246-6746
Phone (480) 275-4938

Other identifiers 1

IdentifierTypeStateIssuer
859134MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091030000492 AZ Part B Supplier - Clinic/Group Practice 3779620364 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ; Gilbert, AZ

National Provider Directory

National Provider Directory

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": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1558597302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6746",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466746",
            "telephone_number": "480-275-4938",
            "fax_number": "480-275-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W HARRISON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262379",
            "telephone_number": "480-275-4938",
            "fax_number": "480-275-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSHAM ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "HORANI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "480-275-4938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "32215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859134",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.