Individual provider Active NPI

Tarek Hafez Youssef, MD

  • Anesthesiology Physician
  • Tempe, AZ
National Provider Identifier
1962483693
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27051 Issued in AZ
Practice address
4635 S Lakeshore Dr Ste 131
Tempe, AZ 85282-7127
Phone
(480) 414-3077
Fax
(480) 393-7444
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27051 AZ Primary

Addresses

Primary practice location

4635 S Lakeshore Dr Ste 131
Tempe, AZ 85282-7127

Mailing address

4635 S Lakeshore Dr Ste 131
Tempe, AZ 85282-7127
Phone (480) 414-3077

Other identifiers 1

IdentifierTypeStateIssuer
442947MedicaidAZ

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
I20150805008828 AZ Practitioner - Anesthesiology 6204870389 Reassigns benefits to 2 organizations
Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chronicare LLC Family Medicine CurrentSince Jun 29, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 1, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Tarek Youssef MD PLLC Anesthesiology CurrentSince Jun 24, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4635 S Lakeshore Dr
Ste 131
Tempe, AZ 85282
Phone (480) 414-3077

Organizations & group practices 6

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 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1962483693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR STE 131",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-414-3077",
            "fax_number": "480-393-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR STE 131",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-414-3077",
            "fax_number": "480-393-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "TAREK",
        "middle_name": "HAFEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "27051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442947",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.