NPIMap

Individual provider Active NPI

Ajitpal Singh Mann, MD

  • Pulmonary Disease Physician
  • Glendale, AZ
National Provider Identifier
1588875207
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
42230 Issued in AZ
Practice address
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone
(480) 499-3482
Fax
(480) 499-3480
NPI assigned
May 24, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 42230 AZ
Pulmonary Disease Physician 207RP1001X 42230 AZ Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 42230 AZ

Addresses

Primary practice location

18701 N 67TH Ave
Glendale, AZ 85308-7100

Mailing address

4531 N 16TH St Ste 114
Phoenix, AZ 85016-5344
Phone (602) 274-0078

Other identifiers 1

IdentifierTypeStateIssuer
448963MedicaidAZ

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
I20090930000017 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Sleep Medicine 6800988890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6325 W Briles Rd
Phoenix, AZ 85083-1003
Phone (480) 499-3482

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amar Palace LLC Current Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Sep 15, 2023 Accepting new patients
Sonora Pulmonary & Sleep, PC Critical Care Medicine CurrentSince May 2, 2012 Accepting new patients
Blissful Living Home LLC CurrentSince Nov 5, 2023 Accepting new patients
City of Hope Medical Group of Arizona LLC CurrentSince Feb 20, 2017 Accepting new patients
Pulmonary Physicians Inc Critical Care Medicine Past Accepting new patients
Paseo Medical Specialists LLC Pulmonary Disease PastSince Apr 1, 2000 Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4531 N 16th St
Ste 114
Phoenix, AZ 85016
Phone (602) 274-0078

5150 N 16th St
Ste B232
Phoenix, AZ 85016
Phone (602) 441-0008

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1588875207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 N 16TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165344",
            "telephone_number": "602-274-0078",
            "fax_number": "602-266-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "480-499-3482",
            "fax_number": "480-499-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "AJITPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "42230",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "42230",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "42230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448963",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.