Individual provider Active NPI

Tariq Ghafoor, MD

  • Forensic Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1750422945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
21022 Issued in AZ
Practice address
Arizona State Hospital
2500 East Van Buren
Phoenix, AZ 85008
Phone
(602) 220-6331
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 21022 AZ Primary

Addresses

Primary practice location

Arizona State Hospital
2500 East Van Buren
Phoenix, AZ 85008

Mailing address

6218 S Rita LN
Tempe, AZ 85283-3023

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
I20110302000155 AZ Practitioner - Psychiatry 2163603705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Center PLLCGroup PAC ID 6507132016, 4 clinicians

Practice addresses (Care Compare)

1030 E Guadalupe Rd
Tempe, AZ 85283-3044
Phone (480) 491-1898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21022AZMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Center PLLC Psychiatry CurrentSince Dec 23, 2014 Accepting new patients
Aurora Behavioral Healthcare - Tempe, LLC Psychiatry CurrentSince Feb 5, 2018 Accepting new patients
Psychiatric Associates, PLLC PastSince Oct 1, 2017 Accepting new patients

Locations

1030 E Guadalupe Rd
Tempe, AZ 85283
Phone (480) 269-2670

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

Interoperability endpoints

  • Direct secure messaging: transitionscenter.ghafoortariq@149834.advancedmd-direct.com

Organizations & group practices 3

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750422945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 S RITA LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARIZONA STATE HOSPITAL",
            "address_2": "2500 EAST VAN BUREN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "602-220-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFOOR",
        "first_name": "TARIQ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "AZ",
            "license": "21022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.