Nassali Mugwanya, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

67709 Issued in AZ

Practice address

15525 N 83Rd Ave Ste 104
Peoria, AZ 85382-5820

Phone

(877) 809-5092

Fax

(623) 505-3272

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Adelante Healthcare, Inc.

  dba Adelante Healthcare-Wickenburg

  • Federally Qualified Health Center (FQHC)
  • Wickenburg, AZ
  • NPI 1083772545

  Family Medicine

  Medicare reassignment NPD
• Adelante Healthcare Inc

  dba Adelante Care Today - Surprise

  • Federally Qualified Health Center (FQHC)
  • Surprise, AZ
  • NPI 1003293465

  Family Medicine

  NPD
• Adelante Healthcare, Inc

  dba Adelante Healthcare-Roosevelt

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1215734124
  NPD
• Adelante Healthcare, Inc.

  dba Adelante Healthcare-Surprise

  • Federally Qualified Health Center (FQHC)
  • Surprise, AZ
  • NPI 1205994761

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1205299351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 N 83RD AVE STE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825820",
            "telephone_number": "877-809-5092",
            "fax_number": "623-505-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGWANYA",
        "first_name": "NASSALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "67709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Allen Moyer, DPM
• Amy Lynn Msowoya, DNP, FNP-C
• Anthony Msowoya, FNP
• Toni Denise Muckala, PA-C, PHARMD
• Muco Behavioral Health Residential Home, LLC (Muco Behavioral Health Residential Home)
• Monica Sue Muilenburg
• Melanie Mulich, DPT
• Leo Munoz
• Murli Raman MD Facc PLLC
• Mihaela Murphy, FNP

• Pediatrics Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.