Individual provider Active NPI

Neal A Nirenberg, M.D.

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1053482554
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25484 Issued in AZ
Practice address
5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone
(480) 981-6111
Fax
(480) 985-2426
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25484 AZ Primary

Addresses

Primary practice location

5620 E Broadway Rd
Mesa, AZ 85206-1438

Mailing address

5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone (480) 981-6111

Other identifiers 5

IdentifierTypeStateIssuer
1Z0841OtherAZHEALTHNET
CN9576OtherAZRR MEDICARE GROUP NUMBER
AZ210795OtherAZSECURE HORIZON BPHO
AZ0887960OtherAZBLUE CROSS BLUE SHIELD
39600304MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040326000202 AZ Practitioner - Ophthalmology 3678465515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Ophthalmology LTDGroup PAC ID 7911986989, 7 clinicians

Practice addresses (Care Compare)

5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone (480) 981-6111

9920 N 117TH PL
Scottsdale, AZ 85259-5080
Phone (602) 370-7105

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Ophthalmology, LTD Ophthalmology CurrentSince Jul 9, 2001 Accepting new patients
Valleywide Physician Eyecare PLC Ophthalmology CurrentSince Mar 26, 2004 Accepting new patients

Locations

5620 E Broadway Rd
Mesa, AZ 85206
Phone (480) 981-6111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053482554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111",
            "fax_number": "480-985-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111",
            "fax_number": "480-985-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRENBERG",
        "first_name": "NEAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "25484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z0841",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CN9576",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZON BPHO",
            "identifier": "AZ210795",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0887960",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39600304",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.