Organization Active NPI

Scottsdale Physicians Group PLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1689799579
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SCOTTSDALE PHYSICIANS GROUP PLC
Practice address
7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Mar 20, 2007
Last updated
Sep 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Mr. Nima Ghadimi, MDNPI 1891894333
Title
President
Phone
(800) 353-5420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243

Mailing address

7975 N Hayden Rd Ste C380
Scottsdale, AZ 85258-3265
Phone (480) 214-9720

Other identifiers 1

IdentifierTypeStateIssuer
909575MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000876 AZ Part B Supplier - Clinic/Group Practice 8325099385 Receives reassigned benefits from 103 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7975 N Hayden Rd
Ste C380
Scottsdale, AZ 85258
Phone (480) 214-9720

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

9003 E Shea Blvd
Ste 208
Scottsdale, AZ 85260

9375 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 214-9570

9375 E Shea Blvd
Ste 201
Scottsdale, AZ 85260
Phone (480) 214-9720

9619 N Hayden Rd
Ste 114
Scottsdale, AZ 85258
Phone (480) 443-0062

Practitioners & affiliated clinicians

Practitioners 106

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 106

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1689799579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE C380",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583265",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PHYSICIANS GROUP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "GHADIMI",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-353-5420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909575",
            "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 Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.