Individual provider Active NPI

Muhammad Munir Alam, MD

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1891829057
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29511 Issued in AZ
Practice address
3750 E Huber St
Mesa, AZ 85205-3901
Phone
(602) 214-0792
Fax
(480) 339-0288
NPI assigned
Mar 16, 2007
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29511 AZ Primary

Addresses

Primary practice location

3750 E Huber St
Mesa, AZ 85205-3901

Mailing address

3750E Huber St
Mesa, AZ 85205-3901
Phone (602) 284-8108

Other identifiers 1

IdentifierTypeStateIssuer
584963MedicaidAZ

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
I20060106000854 AZ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5395768105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (602) 284-8108

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Internal Medicine Associates LLC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Banner Baywood Medical Center Past Accepting new patients
Point Pleasant Physician Billing Services Past Accepting new patients
Canyon Hospitalists LLC Internal Medicine Past Accepting new patients

Locations

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1891829057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750E HUBER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852053901",
            "telephone_number": "602-284-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 E HUBER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852053901",
            "telephone_number": "602-214-0792",
            "fax_number": "480-339-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MUHAMMAD",
        "middle_name": "MUNIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584963",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.