Individual provider Active NPI

Afshin Malaki, MD

  • Obstetrics & Gynecology Physician
  • Surprise, AZ
National Provider Identifier
1689869182
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37834 Issued in IA
Practice address
13995 W Statler Blvd
Banner Surprise Health Center
Surprise, AZ 85374-5501
Phone
(623) 478-3100
NPI assigned
Sep 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37834 IA Primary

Addresses

Primary practice location

13995 W Statler Blvd
Banner Surprise Health Center
Surprise, AZ 85374-5501

Mailing address

13995 W Statler Blvd
Banner Surprise Health Center
Surprise, AZ 85374-5501
Phone (623) 478-3100

Other identifiers 1

IdentifierTypeStateIssuer
1689869182MedicaidIA

Other names 1

  • Afshin Malaki Roodpashti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20150624000004 AZ Practitioner - Obstetrics/Gynecology 7113098294 Reassigns benefits to 1 organization
I20171129000734 TX Practitioner - Obstetrics/Gynecology 7113098294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8414 E Shea Blvd
Suite 103
Scottsdale, AZ 85260-6665
Phone (480) 794-1000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Sep 30, 2017 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Sep 30, 2017 Accepting new patients
Boone County Hospital Past Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1689869182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13995 W STATLER BLVD",
            "address_2": "BANNER SURPRISE HEALTH CENTER",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745501",
            "telephone_number": "623-478-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13995 W STATLER BLVD",
            "address_2": "BANNER SURPRISE HEALTH CENTER",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745501",
            "telephone_number": "623-478-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAKI",
        "first_name": "AFSHIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "37834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689869182",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AFSHIN",
            "last_name": "ROODPASHTI",
            "middle_name": "MALAKI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.