Active NPI
Nezar Mudher Falluji, MD
- Interventional Cardiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 75872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64116007 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Saint Joseph Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Kentucky Cardiology Consultants, PLLC | Cardiovascular Disease | Past | 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
- nfalluji275195@direct.stlukeshealth.org
- 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
-
- Cardiovascular Disease Physician
- Cynthiana, KY
- NPI 1184776445
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.