Individual provider Active NPI

Mokalad Waed, MD

  • Adult Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1629956180
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R81557 Issued in AZ
Practice address
13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626
Phone
(623) 295-1190
NPI assigned
Aug 23, 2025
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X R81557 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626

Mailing address

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626
Phone (623) 246-5704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R81557AZMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appoline Medical Clinic PC Internal Medicine PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1629956180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-246-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAED",
        "first_name": "MOKALAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-23",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "R81557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.