Individual provider Active NPI

Mahmoud Mahafzah, M.D

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1649434887
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
48878 Issued in AZ
Practice address
5251 W Campbell Ave Ste 204
Phoenix, AZ 85031
Phone
(623) 815-7800
NPI assigned
Jul 16, 2008
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 48878 AZ
Pulmonary Disease Physician 207RP1001X 48878 AZ Primary

Addresses

Primary practice location

5251 W Campbell Ave Ste 204
Phoenix, AZ 85031

Mailing address

9145 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4820
Phone (623) 815-7800

Other practice location 1

2799 W Grand Blvd # Blvd-1
Internal medicine department
Detroit, MI 48202-2608
Phone (248) 219-9298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140710002582 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 6608008917 Reassigns benefits to 2 organizations
I20241202002665 KS Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6608008917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 13, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Vigilias LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Feb 15, 2019 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Critical Care Medicine CurrentSince Jan 13, 2020 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Suleiman Ali LLC Critical Care Medicine PastSince Nov 29, 2020 Accepting new patients
Your Health and Wellness PLLC PastSince Sep 28, 2021 Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

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

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

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

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

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

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

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

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mmahafzah145543@cityofhope.direct-ci.com

Organizations & group practices 8

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 4

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1649434887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814820",
            "telephone_number": "623-815-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85031",
            "telephone_number": "623-815-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd # Blvd-1",
            "address_2": "Internal medicine department",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "248-219-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAFZAH",
        "first_name": "MAHMOUD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "48878",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "48878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.