Individual provider Active NPI

Reza Maleknia, M.D.

  • General Acute Care Hospital
  • Scottsdale, AZ
National Provider Identifier
1740464759
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
207R00000X Issued in AZ
Practice address
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4581
Phone
(480) 455-3000
Fax
(866) 819-6115
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 207R00000X AZ Primary

Addresses

Primary practice location

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4581

Mailing address

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4581
Phone (480) 455-3000

Other identifiers 1

IdentifierTypeStateIssuer
395262MedicaidAZ

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
I20081124000382 AZ Practitioner - Internal Medicine 4688734437 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R00000XAZMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC CurrentSince May 25, 2011 Accepting new patients
4C Medical Group PLC CurrentSince May 25, 2011 Accepting new patients
Mydoctor LLC Past Accepting new patients
Vishal Chaurasia MD PC Past Accepting new patients

Locations

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

11000 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85254
Phone (480) 455-3000

10229 N 92nd St
Ste I103
Scottsdale, AZ 85258
Phone (480) 422-9742

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

Organizations & group practices 4

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1740464759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584581",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584581",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKNIA",
        "first_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395262",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.