Active NPI
Anwar Abdel-Rahman, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Scottsdale, AZ
National Provider Identifier
1689679771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 28403
- Practice address
- 8111 E Thomas Rd
#124
Scottsdale, AZ 85251-5844 - Phone
- (602) 954-0444
- Fax
- (602) 952-7146
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28403 | AZ | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 28403 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8111 E Thomas Rd
#124
Scottsdale, AZ 85251-5844
Mailing address
8111 E Thomas Rd
#124
Scottsdale, AZ 85251-5844
Phone (602) 954-0444
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0744150 | Other | AZ | BCBSAZ |
| 522591 | Medicaid | AZ | |
| P00064094 | Other | AZ | RAIL ROAD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2012.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1689679771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 E THOMAS RD",
"address_2": "#124",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515844",
"telephone_number": "602-954-0444",
"fax_number": "602-952-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 E THOMAS RD",
"address_2": "#124",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515844",
"telephone_number": "602-954-0444",
"fax_number": "602-952-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEL-RAHMAN",
"first_name": "ANWAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "AZ",
"license": "28403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAZ",
"identifier": "AZ0744150",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522591",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "P00064094",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.