Individual provider Active NPI

Tamir Mosharrafa, MD

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1801832977
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
32605 Issued in AZ
Practice address
4611 E Shea Blvd Ste 230
Phoenix, AZ 85028
Phone
(602) 513-8133
Fax
(602) 230-1465
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 32605 AZ Primary

Addresses

Primary practice location

4611 E Shea Blvd Ste 230
Phoenix, AZ 85028

Mailing address

4611 E Shea Blvd Ste 230
Phoenix, AZ 85028-4259
Phone (602) 513-8133

Other identifiers 3

IdentifierTypeStateIssuer
AZ0752270OtherAZBCBS
7630208OtherAZAETNA
844127MedicaidAZ

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
I20040614000293 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9234021072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 175
Phoenix, AZ 85028-6016
Phone (480) 905-8485

14275 N 87TH St
Suite 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485

4512 N 40TH St
Phoenix, AZ 85018-3604
Phone (602) 954-7546

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy40
Melanoma (skin cancer) excision31
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC Plastic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Mosharrafa Plastic Surgery PLC Plastic Surgery CurrentSince Dec 11, 2018 Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients
The Medical Center at Franklin ER Physicians Past Accepting new patients
Camelback Dermatology & Skin Surgery, Inc PastSince Jul 1, 2003 Accepting new patients
Tamir Mosharrafa, M.D PastSince Apr 2, 2004 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 200
Glendale, AZ 85308
Phone (480) 619-4097

4512 N 40th St
Phoenix, AZ 85018
Phone (602) 954-7546

11209 N Tatum Blvd
Ste 175
Phoenix, AZ 85028
Phone (602) 652-8900

4611 E Shea Blvd
Ste 230
Phoenix, AZ 85028
Phone (602) 513-8133

14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1801832977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284259",
            "telephone_number": "602-513-8133",
            "fax_number": "602-230-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-513-8133",
            "fax_number": "602-230-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHARRAFA",
        "first_name": "TAMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "32605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0752270",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7630208",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844127",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.