Abhilash P Nambiar, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

50323 Issued in AZ

Practice address

4611 E Shea Blvd Ste 120
Phoenix, AZ 85028-4255

Phone

(602) 441-3845

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

University of Virginia School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: abhilash.nambiar@21co-az.direct.varian.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Digestive Health, PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1992981583

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Radiation Oncologists of Central Arizona

  • Radiation Oncology Physician
  • Phoenix, AZ
  • NPI 1770736324
  Medicare reassignment NPD
• Arizona Oncology Associates PC

  • Specialist
  • Tucson, AZ
  • NPI 1578587671

  Radiation Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1013126440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284255",
            "telephone_number": "602-441-3845",
            "fax_number": "602-464-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284255",
            "telephone_number": "602-441-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14506 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755282",
            "country_code": "US",
            "telephone_number": "623-584-8898",
            "fax_number": "623-584-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMBIAR",
        "first_name": "ABHILASH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "247548",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "50323",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301082079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02953235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9511141",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011504",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLAN",
            "identifier": "6531",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01508278",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3127628",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce David Nalepa, ATC
• Brandy Naleski, M. ED
• Kaileigh Nall, M.S. CCC-SLP
• Nida Namathep, PTA
• Regina Barbara Namatovu, PMHNP-BC
• Lisa Namm
• Noel Tarik Namour, FNP-C
• Nana Hope Hospice and Palliative Care LLC
• Nana Hope Hospice Center, LLC
• Nanas Transit LLC

• Radiation Oncology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.