Organization Active NPI

Sammy Zakhary MD PC

  • Vascular Surgery Physician
  • Glendale, AZ
National Provider Identifier
1982929121
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
40583 Issued in AZ
Legal business name
SAMMY ZAKHARY MD PC
Practice address
6591 W Thunderbird Rd Ste D1
Glendale, AZ 85306-3720
Phone
(623) 258-3255
Fax
(623) 478-2215
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Sammy A Zakhary, M.D.NPI 1447291893
Title
Owner
Phone
(623) 258-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 40583 AZ Primary

Addresses

Primary practice location

6591 W Thunderbird Rd Ste D1
Glendale, AZ 85306-3720

Mailing address

6591 W Thunderbird Rd Ste D1
Glendale, AZ 85306-3720
Phone (623) 258-3255

Other identifiers 1

IdentifierTypeStateIssuer
355317MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100621000447 AZ Part B Supplier - Clinic/Group Practice 3173653060 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ; Phoenix, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

18700 N 64th Dr
Ste 208
Glendale, AZ 85308
Phone (623) 258-3255

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1982929121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 W THUNDERBIRD RD STE D1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063720",
            "telephone_number": "623-258-3255",
            "fax_number": "623-478-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 W THUNDERBIRD RD STE D1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063720",
            "telephone_number": "623-258-3255",
            "fax_number": "623-478-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMY ZAKHARY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ZAKHARY",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-258-3255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "40583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355317",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.