Anthony Alexander Nazaroff, M.D.
Individual provider Active NPI Urology Physician · Bisbee, AZ
NPI 1235249251 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1235249251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 27092 (AZ)
- Practice address
- 7 Bisbee Rd
Bisbee, AZ 85603-1140 - Phone
- (520) 432-2042
- Fax
- (520) 432-2098
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Rush Medical College of Rush University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bisbee Hospital Association
Practice addresses (Care Compare)
7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone (520) 432-2042
Hospital & facility affiliations
- Copper Queen Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040211000493 | AZ | Practitioner - Urology | 1052219565 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27092 | AZ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bisbee Hospital Association | Current |
Accepting new patients | |
| Tucson Physician Group Holdings, LLC | Current |
Accepting new patients | |
| Bisbee Hospital Association | Current |
Accepting new patients | |
| Yuma Regional Medical Center | Current |
Accepting new patients | |
| Bisbee Hospital Association | Current |
Accepting new patients | |
| Bisbee Hospital Association | Past | Accepting new patients | |
| Kynetic Health, PLLC | Past | Accepting new patients |
Locations
7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460
6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 27092 | AZ | Yes |
Addresses
Primary practice location
7 Bisbee Rd
Bisbee, AZ 85603-1140
Mailing address
101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383
Other practice location 1
3533 Canyon De Flores Ste A
Sierra Vista, AZ 85650-5366
Phone (520) 803-7640
Other practice location 2
6565 E Carondelet Dr Ste 155
Tucson, AZ 85710
Phone (520) 849-8900
Other providers in Bisbee, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.