Individual provider Active NPI

Mahesh S Mokhashi, M.D.

  • Gastroenterology Physician
  • Glendale, AZ
National Provider Identifier
1891761987
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
29203 Issued in AZ
Practice address
5823 W Eugie Ave
Ste a
Glendale, AZ 85304-1276
Phone
(602) 843-1265
Fax
(602) 843-1297
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 29203 AZ Primary

Addresses

Primary practice location

5823 W Eugie Ave
Ste a
Glendale, AZ 85304-1276

Mailing address

3020 E Camelback Rd
Suite 301
Phoenix, AZ 85016-5095
Phone (602) 264-9100

Other identifiers 4

IdentifierTypeStateIssuer
317047OtherAZGROUP MEDICAID NUMBER
561391 01MedicaidAZ
120390OtherAZGROUP MEDICARE NUMBER
561391-02MedicaidAZ

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
I20080227000475 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 6002999042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

5823 W Eugie Ave
Suite a
Glendale, AZ 85304-1277
Phone (602) 843-1265

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy323
Upper gastrointestinal (GI) endoscopy for acid reflux233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21429SCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC Gastroenterology CurrentSince May 1, 2008 Accepting new patients
Westside Anesthesia Services PLC Current Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016

3707 N 7th St
Ste 200
Phoenix, AZ 85014
Phone (602) 264-9100

Organizations & group practices 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1891761987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165095",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE",
            "address_2": "STE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041276",
            "telephone_number": "602-843-1265",
            "fax_number": "602-843-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHASHI",
        "first_name": "MAHESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "29203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "317047",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561391 01",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "120390",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561391-02",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.