Individual provider Active NPI

Nader Zaki Elgharib, M.D.

  • Interventional Cardiology Physician
  • Utica, NY
National Provider Identifier
1194962068
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
003324 Issued in NY
Practice address
1676 Sunset Ave
Utica, NY 13502-5416
Phone
(315) 624-8130
Fax
(315) 624-8139
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 042-0011792 VT
Interventional Cardiology Physician 207RI0011X 003324 NY Primary
Interventional Cardiology Physician 207RI0011X 86759 WI

Addresses

Primary practice location

1676 Sunset Ave
Utica, NY 13502-5416

Mailing address

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 624-8130

Other practice location 1

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Other identifiers 1

IdentifierTypeStateIssuer
03113962MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260317001905 WI Practitioner - Interventional CardiologyPractitioner - Internal Medicine 7517019185 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Hospital & facility affiliations

  • Marshfield Medical Center - Weston Hospital, Weston, WI, CCN 520202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003324NYMDAcupuncturist
86759WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince Mar 16, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 16, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 16, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 16, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 16, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 16, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 16, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 16, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 16, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 16, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 16, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 16, 2026 Accepting new patients

Locations

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1194962068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-8130",
            "fax_number": "315-624-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-8130",
            "fax_number": "315-624-8139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765220",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGHARIB",
        "first_name": "NADER",
        "middle_name": "ZAKI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VT",
            "license": "042-0011792",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "003324",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "86759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03113962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.