Active NPI
Tamir Mosharrafa, MD
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 32605
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0752270 | Other | AZ | BCBS |
| 7630208 | Other | AZ | AETNA |
| 844127 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Baylor College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 82.26
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 76.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 40 |
| Melanoma (skin cancer) excision | 31 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Dermatology, PLLC | Plastic Surgery | Current | Accepting new patients |
| Mosharrafa Plastic Surgery PLC | Plastic Surgery | Current | 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 | Past | Accepting new patients | |
| Tamir Mosharrafa, M.D | Past | 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
- 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.
-
- Specialist
- Phoenix, AZ
- NPI 1770760472
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1639435886
Plastic Surgery
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1225175441
-
- Medical Physician Assistant
- Scottsdale, AZ
- NPI 1174062673
-
- Emergency Medicine Physician
- Franklin, KY
- NPI 1417904483
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.