Active NPI
Nisha Garg
- Gynecology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 65861
- Practice address
- 1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603 - Phone
- (602) 358-8588
- Fax
- (602) 688-6991
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 65861 | AZ | Primary |
Addresses
Primary practice location
1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603
Mailing address
1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603
Phone (602) 358-8588
Other practice location 1
1919 E McKellips Rd Ste 106
Mesa, AZ 85203-2855
Phone (602) 358-8588
Other practice location 2
10555 N Tatum Blvd Ste A101
Paradise Valley, AZ 85253-1096
Phone (602) 358-8588
Other practice location 3
702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639
Phone (602) 358-8588
Other practice location 4
2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone (602) 358-8588
Other practice location 5
1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (602) 358-8588
Other practice location 6
10585 N Tatum Blvd Ste D130
Paradise Valley, AZ 85253-1073
Phone (602) 358-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164728 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220906002139 | AZ | Practitioner - Obstetrics/Gynecology | 4981955846 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Miami, LM Miller School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kelly H Roy MD PC
Practice addresses (Care Compare)
702 E Bell Rd
Suite 119
Phoenix, AZ 85022-6639
Phone (602) 358-8588
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly H. Roy, MD, PC | Single Specialty | Current | Accepting new patients |
| WD Recovery and Wellness Center, LLC | Single Specialty | Past | Accepting new patients |
Locations
1151 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 469-3891
1919 E McKellips Rd
Ste 106
Mesa, AZ 85203
Phone (480) 833-0302
10555 N Tatum Blvd
Ste A101
Paradise Vly, AZ 85253
Phone (602) 358-5888
10585 N Tatum Blvd
Ste D130
Paradise Vly, AZ 85253
Phone (602) 559-9966
7330 N 16th St
Ste B101
Phoenix, AZ 85020
Phone 60235885882004
702 E Bell Rd
Ste 119
Phoenix, AZ 85022
Phone (600) 358-8588
2222 E Highland Ave
Ste 205
Phoenix, AZ 85016
Phone (600) 235-8588
1008 E McDowell Rd
Ste A
Phoenix, AZ 85006
Phone (602) 241-1944
10210 N 92nd St
Ste 201
Scottsdale, AZ 85258
Phone (480) 291-6600
Interoperability endpoints
- nisha.garg.1@2541.direct.athenahealth.com
- https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1669986998
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1164876256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 E MCDOWELL RD STE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062603",
"telephone_number": "602-358-8588",
"fax_number": "026-886-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 E MCDOWELL RD STE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062603",
"telephone_number": "602-358-8588",
"fax_number": "602-688-6991"
}
],
"practiceLocations": [
{
"address_1": "1919 E McKellips Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852032855",
"country_code": "US",
"telephone_number": "602-358-8588",
"fax_number": "602-688-6991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10555 N Tatum Blvd Ste A101",
"address_purpose": "LOCATION",
"city": "Paradise Valley",
"state": "AZ",
"postal_code": "852531096",
"country_code": "US",
"telephone_number": "602-358-8588",
"fax_number": "602-688-6991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 E Bell Rd Ste 119",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850226639",
"country_code": "US",
"telephone_number": "602-358-8588",
"fax_number": "602-688-6991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 E Highland Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850164876",
"country_code": "US",
"telephone_number": "602-358-8588",
"fax_number": "602-688-6991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1151 N Gilbert Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852035127",
"country_code": "US",
"telephone_number": "602-358-8588",
"fax_number": "602-688-6991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10585 N Tatum Blvd Ste D130",
"address_purpose": "LOCATION",
"city": "Paradise Valley",
"state": "AZ",
"postal_code": "852531073",
"country_code": "US",
"telephone_number": "602-358-8588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARG",
"first_name": "NISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": "65861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164728",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.
- 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.