Active NPI
Niteen S Andalkar, MD
- Neurological Surgery Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35878
- Practice address
- 2045 S Vineyard
Ste. 142
Mesa, AZ 85210-6889 - Phone
- (480) 330-6010
- Fax
- (480) 507-0019
- NPI assigned
- Jul 2, 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35878 | AZ | Primary |
Addresses
Primary practice location
2045 S Vineyard
Ste. 142
Mesa, AZ 85210-6889
Mailing address
2045 S Vineyard
Ste. 142
Mesa, AZ 85210-6889
Phone (480) 330-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35878 | Other | AZ | STATE LICENSE |
| 115379 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Rochester School of Medicine and Dentistry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2045 S Vineyard
Suite 144
Mesa, AZ 85210-6891
Phone (480) 330-6010
Hospital & facility affiliations
- Abrazo West Campus
- Abrazo Scottsdale Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 97 |
| Laminectomy or laminotomy (partial removal of spine bones) | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35878 | AZ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Neurosurgery, LLC | Neurological Surgery | Current | Accepting new patients |
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients |
Locations
2045 S Vineyard
Ste 144
Mesa, AZ 85210
Phone (480) 330-6010
2045 S Vineyard
Ste 142
Mesa, AZ 85210
Phone (480) 330-6010
Interoperability endpoints
- niteenandalkar@asjh.medalliesdirect.net
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.
-
- Neurological Surgery Physician
- Mesa, AZ
- NPI 1356594626
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1124057070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 S VINEYARD",
"address_2": "STE. 142",
"city": "MESA",
"state": "AZ",
"postal_code": "852106889",
"telephone_number": "480-330-6010",
"fax_number": "480-507-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 S VINEYARD",
"address_2": "STE. 142",
"city": "MESA",
"state": "AZ",
"postal_code": "852106889",
"telephone_number": "480-330-6010",
"fax_number": "480-507-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDALKAR",
"first_name": "NITEEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "35878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "35878",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115379",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.