Individual provider Active NPI

Gregory Massoud, D.O.

  • Emergency Medicine Physician
  • Chandler, AZ
National Provider Identifier
1790715522
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4023 Issued in AZ
Practice address
475 S Dobson Rd
Chandler Regional Medical Center
Chandler, AZ 85224-1797
Phone
(480) 728-3753
Fax
(480) 728-3305
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

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
Emergency Medicine Physician 207P00000X 4023 AZ Primary

Addresses

Primary practice location

475 S Dobson Rd
Chandler Regional Medical Center
Chandler, AZ 85224-1797

Mailing address

4720 S Nevada St
Chandler, AZ 85249-3087

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
I20040727001303 AZ Practitioner - Emergency Medicine 5698745701 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Emergency Medicine of Arizona LLCGroup PAC ID 7113447475, 36 clinicians
Emergency Professional Services PCGroup PAC ID 6901707272, 107 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone (954) 939-5000

4760 E Germann Rd
Gilbert, AZ 85297-0205
Phone (888) 732-3317

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4023AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services PC Emergency Medicine CurrentSince Oct 22, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Critical Care Consultants LLC Current Accepting new patients
Chandler Emergency Medical Group, LLC Emergency Medicine CurrentSince Apr 1, 2006 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Aug 13, 2020 Accepting new patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Sep 12, 2025 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Oct 22, 2024 Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients
Monroe Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Organizations & group practices 9

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 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790715522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 S NEVADA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S DOBSON RD",
            "address_2": "CHANDLER REGIONAL MEDICAL CENTER",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241797",
            "telephone_number": "480-728-3753",
            "fax_number": "480-728-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUD",
        "first_name": "GREGORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.