Individual provider Active NPI

Muhammad A Alam, MD

  • Psychiatry Physician
  • Goodyear, AZ
National Provider Identifier
1982714366
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34472 Issued in AZ
Practice address
14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279
Phone
(623) 882-3364
NPI assigned
Aug 30, 2006
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34472 AZ Primary

Addresses

Primary practice location

14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279

Mailing address

14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279
Phone (623) 882-3364

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
I20051011000823 AZ Practitioner - Psychiatry 3274590203 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34472AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda McCandless, DO, Inc. Psychiatry CurrentSince Jul 4, 2021 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

14539 W Indian School Rd
Ste 800
Goodyear, AZ 85395
Phone (623) 882-3364

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1982714366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD STE 800",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-882-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD STE 800",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-882-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MUHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "34472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.