Alireza Mazoury, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4785 Issued in AZ

Practice address

3000 N Arizona Ave
Chandler, AZ 85225-7717

Phone

(480) 371-4559

NPI assigned

Dec 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Abundant Health Medical PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1487105557
  Medicare reassignment NPD
• Fiesta Health Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1518382787
  Medicare reassignment NPD

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1851637631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-371-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257717",
            "telephone_number": "480-371-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOURY",
        "first_name": "ALIREZA",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-22",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayan Therapy Services, Inc.
• Tess Mayer, OTR/L
• Debra Jean Mayo, LPC
• Skyra Mayo
• Mazoury Family Medicine LLC
• Joseph P Mazzei, DO
• Rae Mazzei, PSY.D., BCB
• Jauna Elizabeth Mazzocco
• Louise Mbadjoun, NURSE
• Nyah Melinda Campbell McAuliffe, MED, BCBA, LBA

• Family Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.

Verify at the official NPI Registry.