Individual provider Active NPI

Aly Jiwani

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1215820311
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
322768 Issued in AZ
Practice address
20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Phone
(480) 222-7246
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 322768 AZ
Nurse Practitioner 363L00000X 322768 AZ Primary

Addresses

Primary practice location

20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204

Mailing address

5704 E Aire Libre Ave Unit 1104
Scottsdale, AZ 85254-1222
Phone (214) 727-9718

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000210 AZ Practitioner - Nurse Practitioner 1557864329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

20950 N Tatum Blvd
Suite 100
Phoenix, AZ 85050-4204
Phone (480) 222-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
322768AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Aug 15, 2025 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 15, 2025 Accepting new patients
Honorhealth Ambulatory Acute Care Past Accepting new patients

Locations

4025 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 222-7246

20950 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 222-7246

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

7242 E Osborn Rd
Ste 230
Scottsdale, AZ 85251
Phone (480) 882-5566

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

23015 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85255
Phone (480) 222-7246

Interoperability endpoints

  • Direct secure messaging: ajiwani650052@direct.honorhealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1215820311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 E AIRE LIBRE AVE UNIT 1104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541222",
            "telephone_number": "214-727-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504204",
            "telephone_number": "480-222-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIWANI",
        "first_name": "ALY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "322768",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "322768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.