Individual provider Active NPI

Nezar Mudher Falluji, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1053427872
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
75872 Issued in AZ
Practice address
500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218
Phone
(602) 406-1150
Fax
(602) 406-1159
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 75872 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218

Mailing address

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

Other practice location 1

3420 S Mercy Rd Ste 312
Gilbert, AZ 85297-0425
Phone (480) 728-6400

Other identifiers 1

IdentifierTypeStateIssuer
64116007MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051123000407 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3678593456 Reassigns benefits to 1 organization
I20250515000835 AZ Practitioner - Cardiovascular Disease (Cardiology) 3678593456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

500 W Thomas Rd
850 Sjhmc Heart and Vascular Institute
Phoenix, AZ 85013-4218
Phone (602) 406-1150

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Kentuckyone Health Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Sjhmc Physician Services CurrentSince Jun 1, 2025 Accepting new patients
Kentucky Cardiology Consultants, PLLC Cardiovascular Disease PastSince Jan 1, 2007 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3420 S Mercy Rd
Ste 312
Gilbert, AZ 85297
Phone (480) 728-6400

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

500 W Thomas Rd
Ste 750
Phoenix, AZ 85013
Phone (602) 406-1150

500 W Thomas Rd
Ste 750850
Phoenix, AZ 85013
Phone (602) 406-1150

500 W Thomas Rd
Ste 850
Phoenix, AZ 85013
Phone (602) 406-1150

File 56765
Los Angeles, CA 90074

305 Estill St
Fl 3
Berea, KY 40403
Phone (606) 986-3151

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222

470 Linden Ave
Ste 1
Harrodsburg, KY 40330
Phone (859) 733-4880

1401 Harrodsburg Rd
Ste B160
Lexington, KY 40504
Phone (859) 276-4486

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1401 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 258-6784

Interoperability endpoints

  • Direct secure messaging: nfalluji275195@direct.stlukeshealth.org
  • Direct secure messaging: nezarfalluji@kysjhspe.allscriptsdirect.net

Organizations & group practices 5

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 7

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1053427872",
    "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",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134218",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 S Mercy Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970425",
            "country_code": "US",
            "telephone_number": "480-728-6400",
            "fax_number": "480-728-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLUJI",
        "first_name": "NEZAR",
        "middle_name": "MUDHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "75872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64116007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.