DR. CARL MASAO MINAMI (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1710975685
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
284 PATHOLOGY in AZ
Provider Addresses for DR. CARL MASAO MINAMI (M.D.)
PO BOX 95460
CLEVELAND, OH 441010033
Phone: (602) 581-6076
Fax: (602) 263-1619
Type: Mailing
4212 N 16TH ST
PHOENIX, AZ 850165319
Phone: (602) 263-1200
Fax: (602) 263-1619
Type: Location
5301, Virginia Way, Iroquois Estates, Brentwood, Williamson County, Tennessee, 37027, United States
SUITE 300
BRENTWOOD, TN 370277541
Phone: (615) 695-4977
Fax: (615) 263-3348
Type: Mailing
Tennova Healthcare - Cleveland, 2305, Chambliss Avenue Northwest, North Cleveland, Cleveland, Bradley County, Tennessee, 37311, United States
CLEVELAND, TN 373113847
Phone: (615) 695-4977
Fax: (615) 263-3348
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170202001582 | I | Pathology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,356 | 643 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 294 | 272 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 153 | 41 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 107 | 80 | $0 |
| 88108 | Cell examination of specimen, concentration technique | 91 | 78 | $0 |
Insurance plans in this area (ZIP 44101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Nurse Practitioner | TX | |
| - | AZ | |
| - | AZ | |
| Diagnostic Radiology | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ |
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