Individual provider Active NPI

Diana Thai, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1952863862
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67016 Issued in AZ
Practice address
3540 E Baseline Rd Ste 130
Phoenix, AZ 85042-9629
Phone
(623) 251-7559
Fax
(480) 621-7043
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67016 AZ Primary

Addresses

Primary practice location

3540 E Baseline Rd Ste 130
Phoenix, AZ 85042-9629

Mailing address

3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3848

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
I20220708000271 AZ Practitioner - Family Practice 1850771841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khakwani and Mohammad Medical PCGroup PAC ID 8527412659, 13 clinicians

Practice addresses (Care Compare)

5270 W Baseline Rd
Suite 145
Laveen, AZ 85339-6959
Phone (623) 267-5570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67016AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khakwani and Mohammad Medical PC Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Khakwani and Mohammad Medical PC Family Medicine Current Accepting new patients
Khakwani and Mohammad Medical PC Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Khakwani and Mohammad Medical PC Family Medicine Past Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients

Locations

4445 S Miller Rd
Ste 105B
Buckeye, AZ 85326
Phone (480) 319-9596

1500 S Watson Rd
Ste C104
Buckeye, AZ 85326
Phone (623) 251-7559

5270 W Baseline Rd
Ste 145
Laveen, AZ 85339
Phone (602) 675-2843

1310 E McKellips Rd
Ste 105B
Mesa, AZ 85203
Phone (480) 690-6959

20542 N Lake Pleasant Rd
Ste 115
Peoria, AZ 85382
Phone (623) 476-5820

3540 E Baseline Rd
Ste 130
Phoenix, AZ 85042
Phone (480) 899-0767

13869 W Bell Rd
Ste 103B
Surprise, AZ 85374
Phone (623) 600-4466

2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074

Interoperability endpoints

  • Direct secure messaging: dthai157987@pdshealth.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1952863862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E BASELINE RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429629",
            "telephone_number": "623-251-7559",
            "fax_number": "480-621-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "67016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.