NPIMap

Individual provider Active NPI

Michael Tawadrous, M.D.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1972892339
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53748 Issued in AZ
Practice address
1720 W Gila LN
Chandler, AZ 85224
Phone
(480) 718-5986
Fax
(480) 436-6582
NPI assigned
Apr 6, 2011
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59910 WI
Family Medicine Physician 207Q00000X 53748 AZ Primary

Addresses

Primary practice location

1720 W Gila LN
Chandler, AZ 85224

Mailing address

1237 S Val Vista Dr
Ste 117-118
Mesa, AZ 85204-6401
Phone (602) 406-4786

Other practice location 1

3070 N 51st St
Milwaukee, WI 53210-1645
Phone (414) 445-6520

Other practice location 2

4545 E Chandler Blvd Ste 104
Phoenix, AZ 85048-7647
Phone (480) 728-4400

Other identifiers 1

IdentifierTypeStateIssuer
256838MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170623001916 AZ Practitioner - Family PracticePractitioner - Hospitalist 3577789163 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Medical Aco LLCGroup PAC ID 1456885227, 50 clinicians
Century Care IncGroup PAC ID 3971665605, 51 clinicians

Practice addresses (Care Compare)

1980 W Pecos Rd
Chandler, AZ 85224-5606
Phone (480) 718-5986

7227 E Baseline Rd
Suite 126
Mesa, AZ 85209-5006
Phone (480) 868-9650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.24 of 100Reported as group
Quality
66.21
Improvement activities
40
Cost
66.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue14
Removal or shaving of skin growth11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physician Group, PLLC CurrentSince Dec 16, 2023 Accepting new patients
Century Care Inc CurrentSince Apr 1, 2020 Accepting new patients
Atlas Medical Aco LLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Impact Healthcare PLLC CurrentSince Aug 15, 2021 Accepting new patients
Diamond Diagnostics, LLC CurrentSince Feb 1, 2023 Accepting new patients
LHCG Lxxvii, LLC Past Accepting new patients
Pecos Health Care Limited Ptrshp Past Accepting new patients
Oasis Family Medicine, PLLC Family Medicine Past Accepting new patients
Suncrest Health Care Inc Past Accepting new patients
Diamond Medical Equipment L.L.C. Past Accepting new patients

Locations

1980 W Pecos Rd
Chandler, AZ 85224
Phone (480) 821-1268

3050 S Dobson Rd
Chandler, AZ 85248
Phone (480) 284-5867

1324 N Farrell Ct
Ste 102
Gilbert, AZ 85233
Phone (480) 926-4363

1237 S Val Vista Dr
Ste 117
Mesa, AZ 85204

1237 S Val Vista Dr
Ste 117118
Mesa, AZ 85204

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

2211 E Southern Ave
Phoenix, AZ 85040
Phone (602) 305-7134

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aegis HospiceMesa, AZ, CCN 031613 Hospice Contracted Managing Employee Apr 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 3

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1972892339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 S VAL VISTA DR",
            "address_2": "STE 117-118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046401",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W GILA LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-718-5986",
            "fax_number": "480-436-6582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 N 51st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101645",
            "country_code": "US",
            "telephone_number": "414-445-6520",
            "fax_number": "414-445-6875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 E Chandler Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487647",
            "country_code": "US",
            "telephone_number": "480-728-4400",
            "fax_number": "480-222-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAWADROUS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "59910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "53748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256838",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.