NPIMap

Individual provider Active NPI

Alisha Nanda Vaidya, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1043744238
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
56240 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3430
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 56240 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

2910 N 3rd Ave
Phoenix, AZ 85013-4434
Phone (855) 977-9496

Other names 1

  • Alisha Nanda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231128003278 OR Practitioner - Diagnostic Radiology 8426430067 Reassigns benefits to 2 organizations
I20231205003219 WA Practitioner - Diagnostic Radiology 8426430067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

19250 SW 65TH Ave
Suite 300
Tualatin, OR 97062-7707
Phone (503) 413-7800

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-7800

25050 SE Stark St
Gresham, OR 97030-3388

2725 SW Cedar Hills Blvd
Suite 225
Beaverton, OR 97005-1416
Phone (503) 413-7800

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-7800

36860 Industrial Way
Sandy, OR 97055-7371
Phone (503) 826-0206

475 S Columbia River Hwy
Saint Helens, OR 97051-2859
Phone (503) 413-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Jun 15, 2024 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Nov 1, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jun 15, 2024 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Nov 1, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1043744238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134434",
            "country_code": "US",
            "telephone_number": "855-977-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "ALISHA",
        "middle_name": "NANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "56240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "NANDA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.