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DR. MOHAMMAD MADANTSCHI MD
NPI 1710103023
Internal Medicine - Sleep Medicine in Phoenix, AZ

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
9305 W THOMAS RD STE 485, PHOENIX, AZ 85037(623) 815-7800 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Dr. Mohammad Madantschi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOHAMMAD MADANTSCHI MD (NPI 1710103023) is an individual sleep medicine provider in Phoenix, Arizona, licensed in Arizona (37565) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1710103023
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. MOHAMMAD MADANTSCHICredential: MD
Location Address9305 W THOMAS RD STE 485Phoenix, AZ 85037
Mailing Address5761 W Pinnacle Hill DrGlendale, AZ 85310-3632 · (623) 734-5808
Phone(623) 815-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 17, 2007
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1710103023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in AZ · 37565
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 37565 (AZ)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License M001359 (GU)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 37565 (AZ), M001359 (GU)
9305 W THOMAS RD STE 485, Phoenix, AZ 85037
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Secondary Practice Location 1

Location 19305 W Thomas Rd Ste 485Phoenix, AZ 85037 · Phone (623) 815-7800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammad Madantschi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456246990
PECOS Enrollment IDI20080129000362
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mohammad Madantschi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Physician Specialists Arizona LLC
11 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
404 services153 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
225 services108 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services77 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
77 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers32 claims64 services$1.19 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims67 services$1.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims38 services$14.46 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers61 claims61 services$918.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers18 claims18 services$5.33 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers18 claims18 services$26.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Madantschi's NPI number?

The NPI number for Mohammad Madantschi is 1710103023. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Mohammad Madantschi located?

Mohammad Madantschi practices at 9305 W Thomas Rd Ste 485, Phoenix, AZ 85037. The listed phone number is (623) 815-7800.

What is Mohammad Madantschi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Mohammad Madantschi enrolled in Medicare?

Yes. Mohammad Madantschi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mohammad Madantschi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Madantschi reassigns Medicare benefits to Banner Physician Specialists Arizona LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohammad Madantschi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Madantschi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mohammad Madantschi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mohammad Madantschi was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.