Individual provider Active NPI

Arif Nazir, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Louisville, KY
National Provider Identifier
1174516751
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
49556 Issued in KY
Practice address
1120 Cristland Rd
Louisville, KY 40214-4150
Phone
(502) 367-0140
Fax
(502) 368-5208
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 49556 KY Primary
Internal Medicine Physician 207R00000X 49556 KY

Addresses

Primary practice location

1120 Cristland Rd
Louisville, KY 40214-4150

Mailing address

12201 Bluegrass Pkwy
Ste 130 - Provider Enrollment
Louisville, KY 40299-2361
Phone (502) 568-7364

Other identifiers 2

IdentifierTypeStateIssuer
4462980MedicaidMI
200874940MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161205000993 KY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9537255740 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners LTC VB, LLC CurrentSince Jun 1, 2022 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Feb 1, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Feb 1, 2025 Accepting new patients
SHC Medical Partners of Kentucky, LLC Geriatric Medicine CurrentSince Nov 1, 2016 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Feb 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
SHC Medical Partners of Michigan, LLC PastSince Sep 28, 2022 Accepting new patients
SHC Medical Partners of Tennessee, LLC PastSince Jun 1, 2022 Accepting new patients
Indiana University Health, Inc Geriatric Medicine Past Accepting new patients
Icp Arkansas Aco Billing LLC PastSince May 1, 2024 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients

Locations

3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 266-2126

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

1120 Cristland Rd
Louisville, KY 40214
Phone (502) 367-0101

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

12201 Bluegrass Pkwy
Ste 130
Louisville, KY 40299

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: arif.nazir@1075131446919172.direct.elationemr.com

Organizations & group practices 11

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1174516751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "address_2": "STE 130 - PROVIDER ENROLLMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7364",
            "fax_number": "502-568-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CRISTLAND RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144150",
            "telephone_number": "502-367-0140",
            "fax_number": "502-368-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIR",
        "first_name": "ARIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "49556",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "49556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4462980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200874940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.