Individual provider Active NPI

Mohammed T. Alhammouri, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Glendale, AZ
National Provider Identifier
1649219270
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
35178 Issued in AZ
Practice address
5555 W Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306
Phone
(602) 865-2627
Fax
(602) 865-2631
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35178 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35178 AZ Primary

Addresses

Primary practice location

5555 W Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306

Mailing address

5555 W Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306
Phone (602) 865-2627

Other identifiers 1

IdentifierTypeStateIssuer
066266MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000124 AZ Practitioner - Critical Care (Intensivists) 5496796526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35178AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Critical Care Medicine CurrentSince Jun 1, 2014 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jun 1, 2014 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Arizona Specialty Physicians Past Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1515 N 9th St
Ste D
Phoenix, AZ 85006
Phone (602) 252-6855

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1649219270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD",
            "address_2": "BANNER THUNDERBIRD MEDICAL CENTER",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-865-2627",
            "fax_number": "602-865-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD",
            "address_2": "BANNER THUNDERBIRD MEDICAL CENTER",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-865-2627",
            "fax_number": "602-865-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAMMOURI",
        "first_name": "MOHAMMED",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35178",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "35178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.