Individual provider Active NPI

Hosahally Nagaraj, M.D.

  • Anesthesiology Physician
  • Yuma, AZ
National Provider Identifier
1255449906
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
187428 Issued in NY
Practice address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone
(928) 344-2000
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 64842 AZ
Anesthesiology Physician 207L00000X 187428 NY Primary

Addresses

Primary practice location

2400 S Avenue a
Yuma, AZ 85364-7127

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000

Other identifiers 8

IdentifierTypeStateIssuer
05277OtherNYMVP
01269772MedicaidNY
10001449OtherNYCDPHP
187428-8CANOtherNYWC
12G281OtherNYEMPIRE BS
2600296OtherNYGHI
5765306OtherNYAETNA
000410983001OtherNYBSNENY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111229000534 CA Practitioner - Anesthesiology 9032022512 Reassigns benefits to 2 organizations
I20240207000493 AZ Practitioner - Anesthesiology 9032022512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmdale Anesthesia, IncGroup PAC ID 4385082734, 14 clinicians

Practice addresses (Care Compare)

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64842AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Jun 1, 2024 Accepting new patients
Palmdale Anesthesia, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince May 5, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Feb 15, 2024 Accepting new patients
Antigua Anesthesia Management, LLC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Aepc Anesthesia LLC CurrentSince Jan 17, 2020 Accepting new patients
First Choice Physician Partners CurrentSince Jun 1, 2024 Accepting new patients
Northern Arizona Healthcare Corporation Anesthesiology CurrentSince Feb 15, 2024 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Anesthesia Group of Albany, PC Anesthesiology PastSince Nov 6, 2006 Accepting new patients
Empire Ansths Medcl Conslnts Anesthesiology PastSince Jan 1, 1995 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

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

1753 W Avenue J
Ste A
Lancaster, CA 93534
Phone (661) 206-0555

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

Organizations & group practices 15

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.

View all 15

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1255449906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJ",
        "first_name": "HOSAHALLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "64842",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "187428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "05277",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01269772",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10001449",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "187428-8CAN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BS",
            "identifier": "12G281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2600296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5765306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000410983001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.