Taif Mukhdomi, MD in Flagstaff, AZ - Medicare Anesthesiology

Taif Mukhdomi, MD is a medicare enrolled "Anesthesiology" physician in Flagstaff, Arizona. His current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-3366.

Taif Mukhdomi is licensed to practice in Arizona (license number 75027) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427583566.

Contact Information

	Taif Mukhdomi, MD
	1200 N Beaver St, Flagstaff, AZ 86001-3118
	(928) 779-3366
	Not Available

Map and Direction

Physician's Profile

Full Name	Taif Mukhdomi
Gender	Male
Speciality	Anesthesiology
Location	1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427583566
Provider Enumeration Date: 04/26/2017
Last Update Date: 02/06/2025

Medicare PECOS Information:

PECOS PAC ID: 2769878073
Enrollment ID: I20220425001837

Medical Identifiers

Medical identifiers for Taif Mukhdomi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427583566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	LP04360 (Rhode Island)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	309546-01 (New York)	Secondary
207L00000X	Anesthesiology	75027 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taif Mukhdomi allows following entities to bill medicare on his behalf.

Entity Name	Premier Anesthesia Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267

Entity Name	Sandusky Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752

Entity Name	Pain Zero, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912652603 PECOS PAC ID: 1850787169 Enrollment ID: O20220413000125

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taif Mukhdomi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Taif Mukhdomi, MD Po Box 738247, Dallas, TX 75373-8247 Ph: (614) 647-2526	Taif Mukhdomi, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366

Reviews and Comments

Anesthesiology Doctors in Flagstaff, AZ

Dr. Jeremy Nielsen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Dr. Judith Amanda Kelley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St, Ste 100, Flagstaff, AZ 86001 Phone: 928-214-2156
Dr. Kevin Neal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-639-6150
Kyle Richardson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Dr. Douglas Dean Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Dr. James H Gibson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1020 N San Francisco St, Ste 1000, Flagstaff, AZ 86001 Phone: 928-526-1112 Fax: 928-714-9285
Dr. Gary Steven Christensen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504

Taif Mukhdomi, MD - Medicare Anesthesiology in Flagstaff, AZ