Nasser Victor Bazoun, D.O.
Individual provider Active NPI Emergency Medicine Physician · Chinle, AZ
NPI 1063944908 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1063944908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- DO2026-0042 (NM)
- Practice address
- US Hwy 191 & Hospital Dr
Chinle, AZ 86503 - Phone
- (928) 674-7001
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
Practice addresses (Care Compare)
Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030
Hospital & facility affiliations
- Chinle Comprehensive Health Care Facility
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.86 of 100
- Quality
- 61.32
- Improvement activities
- 40
- Cost
- 90.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210910001620 | TX | Practitioner - Emergency Medicine | 1052681079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2026-0042 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients |
Interoperability endpoints
- nbazoun421508@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO2026-0042 | NM | Yes |
Addresses
Primary practice location
US Hwy 191 & Hospital Dr
Chinle, AZ 86503
Mailing address
PO Box Drawer PH
Chinle, AZ 86503
Phone (928) 674-7001
Other providers in Chinle, AZ
- Alice R. Arviso
- Samantha Austin
- V Ayze
- Kara Bakowski
- Andra F. Battocchio
- Natasha Renee Bitsui
- Ja'Nelle Maxine Blocker
- Ethan Reuvan Bornstein
- Jennifer Bosgra
- Edna A. Braxton
All providers in Chinle, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.