Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayvon Moazam, DO

Individual provider Hospitalist Physician · NPI 1679137160

Kayvon Moazam, DO is an Internal Medicine in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone: (623) 327-7313
Fax: (623) 327-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 — (520) 626-8818

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 009840 (AZ)

Record details

NPI number1679137160
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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