Nasrin Ghalyaie, M.D

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

49656 Issued in AZ

Practice address

16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356

Phone

(602) 996-4747

Fax

(602) 953-5466

NPI assigned

Feb 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Merit-based Incentive Payment System (MIPS)

Final score

90.95 of 100Reported as group

Quality

78.21

Promoting interoperability

100

Improvement activities

40

Cost

77.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Greater Tampa Bay Physician Specialists, LLC

  • Surgery Physician
  • Tampa, FL
  • NPI 1528492287
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• New Port Richey Hospital Inc

  dba HCA Florida Trinity Hospital

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1174820542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E HIGHLAND AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164740",
            "telephone_number": "480-372-2111",
            "fax_number": "480-372-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323356",
            "telephone_number": "602-996-4747",
            "fax_number": "602-953-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 E Highland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164740",
            "country_code": "US",
            "telephone_number": "480-372-2111",
            "fax_number": "480-372-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHALYAIE",
        "first_name": "NASRIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2022-01-04",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "49656",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "49656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "939414",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NASRIN.GHALYAIE@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2122 E Highland Ave Ste 100",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850164740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Geyer, DO
• Gfservices, PLLC
• Sason Ghaderi Masihi
• Tariq Ghafoor, MD
• Megan Bhuvaneshwari Ghai, MD
• Allison Ghan, DMD, MSW
• Shirin Ghanavatian
• Saif Ghanem, DDS
• Leith K Ghani, DO
• Ibrahim Isamail Ghannam, DO

• Colon & Rectal Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Colon & Rectal Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.