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

Mariam N Ali-Mucheru, MD

Individual provider Surgery Physician · NPI 1831509595

Mariam N Ali-Mucheru, MD is a General Surgery in Scottsdale, Arizona. Graduated from Medical College of Georgia School of Medicine in 2014, 12 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Arizona, Georgia and Wisconsin.

Years since qualifying
12
Trained at
Medical College of Georgia School of Medicine
Licensed in
AZ, GA, WI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16818 N 56th St
Scottsdale, AZ 85254-1215
Phone: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 88221 (GA)
Surgery Physician Taxonomy 208600000X · Licence 73067-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence 51148 (AZ)

Record details

NPI number1831509595
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2014
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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