Mario T Parise, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

19729 Issued in AZ

Practice address

10503 W Thunderbird Blvd
# 113
Sun City, AZ 85351-3022

Phone

(623) 583-6420

Fax

(623) 583-6421

NPI assigned

May 24, 2006

Last updated

Apr 10, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Desert Nephrology & Hypertension, Inc.

  • Specialist
  • Sun City, AZ
  • NPI 1528074010
  NPD (past) Authorized official
• Akdhc, LLC

  dba Arizona Kidney Disease & Hypertension Center, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208
  NPD (past)
• Akdhc, LLC

  • Nephrology Physician
  • Bullhead City, AZ
  • NPI 1487140539
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1114972395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "# 113",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-583-6420",
            "fax_number": "623-583-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "# 113",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-583-6420",
            "fax_number": "623-583-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISE",
        "first_name": "MARIO",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "19729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297087",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nika Padyab, DMD
• Theresa Pak, DO
• Srinivasa R Palnati, MD
• Timothy Michael Panknin, MD
• Paul M. Papoff, M.D.
• Jae Hyung Park
• Cynthia M Parker, RD
• Shannon Nicole Parnett, RD
• Richard Gittings Parry, MD
• Partners Healthcare Home Medical Supplies, LLC

• Nephrology Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.