Individual provider Active NPI

Mohammad Madantschi, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1710103023
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
37565 Issued in AZ
Practice address
9305 W Thomas Rd Ste 485
Phoenix, AZ 85037
Phone
(623) 815-7800
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37565 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M001359 GU
Pulmonary Disease Physician 207RP1001X 37565 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 37565 AZ Primary
Pulmonary Disease Physician 207RP1001X M001359 GU

Addresses

Primary practice location

9305 W Thomas Rd Ste 485
Phoenix, AZ 85037

Mailing address

5761 W Pinnacle Hill Dr
Glendale, AZ 85310-3632
Phone (623) 734-5808

Other practice location 1

9305 W Thomas Rd Ste 485
Phoenix, AZ 85037
Phone (623) 815-7800

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
I20080129000362 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1456246990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

9305 W Thomas Rd
Suite 380
Phoenix, AZ 85037-3368
Phone (623) 327-4144

Hospital & facility affiliations

  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37565AZMDInternal Medicine Physician
M001359GUMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2019 Accepting new patients
Phoenix Medical Group, P.C. Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Tri Enterprises Inc CurrentSince May 17, 2002 Accepting new patients
Phoenix Medical Group, PC CurrentSince Jan 1, 2008 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2019 Accepting new patients
Suleiman Ali LLC Critical Care Medicine PastSince Nov 29, 2020 Accepting new patients
Pacific Med & Nephrology PastSince Apr 15, 1999 Accepting new patients
Phoenix Medical Group, PC Past Accepting new patients
Phoenix Medical Group PC Past Accepting new patients

Locations

1828 E Florence Blvd
Ste 136
Casa Grande, AZ 85122
Phone (520) 381-6282

6677 W Thunderbird Rd
Ste E
Glendale, AZ 85306
Phone (602) 439-0815

6644 E Baywood Ave
Ste 135
Mesa, AZ 85206
Phone (480) 321-4553

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

13943 N 91st Ave
Ste B104
Peoria, AZ 85381
Phone (623) 815-8900

9305 W Thomas Rd
Ste 380
Phoenix, AZ 85037
Phone (623) 327-4144

9305 W Thomas Rd
Ste 485
Phoenix, AZ 85037
Phone (602) 457-9915

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

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

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

14873 W Bell Rd
Ste 100
Surprise, AZ 85374

14877 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-8900

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 5

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1710103023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 W PINNACLE HILL DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103632",
            "telephone_number": "623-734-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 485",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "623-815-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9305 W Thomas Rd Ste 485",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85037",
            "country_code": "US",
            "telephone_number": "623-815-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADANTSCHI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37565",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GU",
            "license": "M001359",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "37565",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "37565",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GU",
            "license": "M001359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.