Individual provider Active NPI

Farid Ghebleh, MD

  • Pulmonary Disease Physician
  • Paradise Valley, AZ
National Provider Identifier
1992746408
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
15863 Issued in AZ
Practice address
8201 N 54TH St
Paradise Valley, AZ 85253-2522
Phone
(602) 909-0909
Fax
(623) 535-0707
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15863 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 15863 AZ
Pulmonary Disease Physician 207RP1001X 15863 AZ Primary

Addresses

Primary practice location

8201 N 54TH St
Paradise Valley, AZ 85253-2522

Mailing address

10645 N Tatum Blvd Ste 200623
Phoenix, AZ 85028-3068
Phone (602) 909-0909

Other identifiers 2

IdentifierTypeStateIssuer
870261MedicaidAZ
273285MedicaidAZ

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
I20110713000848 AZ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638153828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 249-0212

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Medical Center Urgent Care Critical Care Medicine Current Accepting new patients
Physician Group of Arizona Inc CurrentSince Feb 1, 2021 Accepting new patients
Physician Group of Arizona Inc CurrentSince Feb 1, 2021 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Feb 1, 2021 Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients
Suleiman Ali LLC Critical Care Medicine PastSince Nov 29, 2020 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2122 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (480) 834-8804

13624 W Camino del Sol
Ste 100
Sun City West, AZ 85375
Phone (480) 473-7800

1492 S Mill Ave
Ste 113
Tempe, AZ 85281
Phone (480) 257-2770

Interoperability endpoints

  • Direct secure messaging: gehfghebl@yourcarecommunity.org

Organizations & group practices 8

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 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1992746408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD STE 200623",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "602-909-0909",
            "fax_number": "602-371-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 N 54TH ST",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532522",
            "telephone_number": "602-909-0909",
            "fax_number": "623-535-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEBLEH",
        "first_name": "FARID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "15863",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "15863",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "15863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870261",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273285",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.