Active NPI
Arif Nazir, MD
- Geriatric Medicine (Internal Medicine) Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 49556
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4462980 | Medicaid | MI | |
| 200874940 | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| SHC Medical Partners of Kentucky, LLC | Geriatric Medicine | Current | Accepting new patients |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| SHC Medical Partners of Michigan, LLC | Past | Accepting new patients | |
| SHC Medical Partners of Tennessee, LLC | Past | Accepting new patients | |
| Indiana University Health, Inc | Geriatric Medicine | Past | Accepting new patients |
| Icp Arkansas Aco Billing LLC | Past | 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
- 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.
-
- Nurse Practitioner
- Louisville, KY
- NPI 1992574354
-
- Nurse Practitioner
- Louisville, KY
- NPI 1447029798
-
- Nurse Practitioner
- Louisville, KY
- NPI 1417132614
Geriatric Medicine
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Nurse Practitioner
- Ridgeland, MS
- NPI 1992518591
-
- Clinical Nurse Specialist
- Maumelle, AR
- NPI 1679157838
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
Geriatric Medicine
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Nurse Practitioner
- Livonia, MI
- NPI 1316648587
-
- Nurse Practitioner
- Mountain City, TN
- NPI 1609051895
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.