Individual provider Active NPI

James C. Ferraro, D.O.

  • Nephrology Physician
  • Glendale, AZ
National Provider Identifier
1154324903
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2854 Issued in AZ
Practice address
6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569
Phone
(623) 547-4668
Fax
(623) 535-7869
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2854 AZ Primary

Addresses

Primary practice location

6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569

Mailing address

6622 N 91St Ave Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
1154324903-01MedicaidAZ

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
I20040729000120 AZ Practitioner - NephrologyPractitioner - Internal Medicine 9436129236 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince Oct 1, 1999 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Oct 1, 1999 Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients

Locations (25 of 65)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

1525 N Gilbert Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 497-1127

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286

13090 N 94th Dr
Ste 210
Peoria, AZ 85381
Phone (623) 972-6700

Organizations & group practices 7

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1154324903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "623-547-4668",
            "fax_number": "623-535-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "JAMES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154324903-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.