Individual provider Active NPI

Mohammad Reza Vaziri, M.D

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1831361146
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36302 Issued in AZ
Practice address
9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Phone
(480) 756-6000
Fax
(855) 636-8770
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36302 AZ Primary

Addresses

Primary practice location

9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569

Mailing address

9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Phone (480) 756-0000

Other identifiers 1

IdentifierTypeStateIssuer
345051MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mohammad.vaziri.1@20219.direct.athenahealth.com Direct Valley Perinatal Services, LLC

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
I20080806000347 AZ Practitioner - Obstetrics/Gynecology 6608940887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2019 Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Sanford Medical Center Fargo Family Medicine PastSince Aug 1, 2008 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mohammad.vaziri.1@20219.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1831361146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584569",
            "telephone_number": "480-756-0000",
            "fax_number": "855-636-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584569",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRI",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345051",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammad.vaziri.1@20219.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Valley Perinatal Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9440 E Ironwood Square Dr",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.