Individual provider Active NPI

Zaid Hanoudi, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1770782807
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56883 Issued in AZ
Practice address
7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301090407 MI
Family Medicine Physician 207Q00000X 56883 AZ Primary

Addresses

Primary practice location

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

Mailing address

6227 E Juniper Ave
Scottsdale, AZ 85254-1314
Phone (248) 953-6133

Other practice location 1

1500 S Mill Ave
Tempe, AZ 85281-6699
Phone (602) 251-8316

Other practice location 2

5340 W Buckeye Rd
Phoenix, AZ 85043-4700
Phone (602) 233-2117

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
I20190401001987 AZ Practitioner - Family Practice 8426238874 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56883AZMDFamily Medicine Physician
4301090407MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dvma, LLC CurrentSince Apr 1, 2021 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Aug 16, 2021 Accepting new patients
SJMH Medical Practice-SMHC Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

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

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1770782807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 E JUNIPER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541314",
            "telephone_number": "248-953-6133"
        },
        {
            "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": [
        {
            "address_1": "1500 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816699",
            "country_code": "US",
            "telephone_number": "602-251-8316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5340 W Buckeye Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850434700",
            "country_code": "US",
            "telephone_number": "602-233-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANOUDI",
        "first_name": "ZAID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "56883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.