Individual provider Active NPI

Anthony Alexander Nazaroff, M.D.

  • Urology Physician
  • Bisbee, AZ
National Provider Identifier
1235249251
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
27092 Issued in AZ
Practice address
7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone
(520) 432-2042
Fax
(520) 432-2098
NPI assigned
Aug 30, 2006
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 27092 AZ Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000493 AZ Practitioner - Urology 1052219565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 AssociationGroup PAC ID 5092626168, 69 clinicians

Practice addresses (Care Compare)

7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone (520) 432-2042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27092AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince May 17, 2024 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Dec 16, 2018 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Bisbee Hospital Association CurrentSince Apr 1, 2024 Accepting new patients
Bisbee Hospital Association Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

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

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 6

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.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1235249251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLE AVE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031327",
            "telephone_number": "520-432-5383",
            "fax_number": "520-432-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BISBEE RD",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031140",
            "telephone_number": "520-432-2042",
            "fax_number": "520-432-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 Canyon De Flores Ste A",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856505366",
            "country_code": "US",
            "telephone_number": "520-803-7640",
            "fax_number": "520-803-7886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 E Carondelet Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85710",
            "country_code": "US",
            "telephone_number": "520-849-8900",
            "fax_number": "520-849-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAROFF",
        "first_name": "ANTHONY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "27092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bisbee, AZ

Sources for this page

Verify at the official NPI Registry.