Anthony Nagorka, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23053 Issued in AZ

Practice address

4434 N 12TH Street
Phoenix, AZ 85014-1101

Phone

(602) 242-5121

Fax

(602) 242-6945

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Phoenix Pediatrics LTD

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1871788513
  Medicare reassignment NPD
• North Scottsdale Pediatric Associates

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1275797235
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1053491316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 N 12TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141101",
            "telephone_number": "602-242-5121",
            "fax_number": "602-242-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 N 12TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141101",
            "telephone_number": "602-242-5121",
            "fax_number": "602-242-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGORKA",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "23053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Nagbe
• Jill M Nagel, CRNA
• Matthew David Nagelbush
• Sukumar Nagendran, MD
• Jafar Naghshbandi, DDS
• Marco Naguib, M.D.
• Jericho Naguit
• Murugasu Nagul, MD
• Rachel Klimala Nagy, FNP-BC
• Kari Noelle Nahgahgwon

• Pediatrics Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.