Active NPI
Nezar N Dahdal, MD
- Internal Medicine Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46720
- Practice address
- 5421 W Thunderbird Rd
Glendale, AZ 85306-4751 - Phone
- (480) 690-7779
- NPI assigned
- Oct 17, 2008
- Last updated
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 250348 | NY | |
| Internal Medicine Physician | 207R00000X | 46720 | AZ | Primary |
| Hospitalist Physician | 208M00000X | 46720 | AZ |
Addresses
Primary practice location
5421 W Thunderbird Rd
Glendale, AZ 85306-4751
Mailing address
24002 Via Fabricante Ste 201
Mission Viejo, CA 92691-3931
Phone (623) 200-3746
Other practice location 1
24002 Via Fabricante Ste 201
Mission Viejo, CA 92691-3931
Phone (949) 416-0950
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100
5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250348 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Internal Medicine | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Vituity - Arizona Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Vituity - Arizona Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Allen Family Medicine PLLC | Past | Accepting new patients | |
| Phoenician Hospice LLC | Past | Accepting new patients |
Locations
5421 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 547-9615
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
Interoperability endpoints
- https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
- nezar.dahdal.1@19654.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Billet Health | Hospice | 5% Or Greater Direct Ownership Interest (25%) W-2 Managing Employee (25%) |
Oct 1, 2022 Oct 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Glendale, AZ
- NPI 1184342974
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
Internal Medicine
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1770109704
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1912629916
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1356614176
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1730624461
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
dba HonorHealth Deer Valley Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1508423179
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1790457406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1194977405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24002 VIA FABRICANTE STE 201",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913931",
"telephone_number": "623-200-3746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 W THUNDERBIRD RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064751",
"telephone_number": "480-690-7779"
}
],
"practiceLocations": [
{
"address_1": "24002 Via Fabricante Ste 201",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926913931",
"country_code": "US",
"telephone_number": "949-416-0950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHDAL",
"first_name": "NEZAR",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "250348",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "46720",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "46720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.