Organization Active NPI

Infectious Disease Consultants of Arizona

  • Infectious Disease Physician
  • Phoenix, AZ
National Provider Identifier
1811320203
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35819 Issued in AZ
Legal business name
INFECTIOUS DISEASE CONSULTANTS OF ARIZONA
Practice address
19841 N 27TH Ave Ste 403
Phoenix, AZ 85027
Phone
(602) 439-0274
Fax
(480) 821-9555
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Walid Almuti, MDNPI 1588717334
Title
Owner
Phone
(917) 969-1281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 35819 AZ Primary

Addresses

Primary practice location

19841 N 27TH Ave Ste 403
Phoenix, AZ 85027

Mailing address

3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297-1503
Phone (917) 969-1281

Other practice location 1

3303 S Lindsay Rd Ste 123
Gilbert, AZ 85297-2100
Phone (480) 821-9339

Other identifiers 2

IdentifierTypeStateIssuer
35819OtherAZLICENSE
228441MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140624002553 AZ Part B Supplier - Clinic/Group Practice 5799909289 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

19829 N 27th Ave
Ste 403
Phoenix, AZ 85027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1811320203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD",
            "address_2": "STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971503",
            "telephone_number": "917-969-1281",
            "fax_number": "480-821-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 N 27TH AVE STE 403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "602-439-0274",
            "fax_number": "480-821-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 S Lindsay Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852972100",
            "country_code": "US",
            "telephone_number": "480-821-9339",
            "fax_number": "480-821-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "ALMUTI",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-969-1281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "35819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35819",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228441",
            "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 Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.