Active NPI
Nazir Delawar, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Salt Lake City, UT
National Provider Identifier
1255532487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 11581788-1205
- Practice address
- 30 N 1900 E RM 4C104
Salt Lake City, UT 84132-0002 - Phone
- (801) 581-7606
- NPI assigned
- May 28, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5515 | NE | |
| Family Medicine Physician | 207Q00000X | 41658 | AZ | |
| Hospitalist Physician | 208M00000X | 41658 | AZ | |
| Hospitalist Physician | 208M00000X | 01071269A | IN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 11581788-1205 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E RM 4C104
Salt Lake City, UT 84132-0002
Mailing address
30 N 1900 E RM 4C104
Salt Lake City, UT 84132-0002
Phone (801) 581-7606
Other practice location 1
1200 N. Beaver Street
Flagstaff, AZ 86001-3118
Phone (928) 214-2920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201070440 | Medicaid | IN | |
| 5515 | Other | NE | TEMP EDUCATIONAL PERMIT |
| 000000771667 | Other | IN | ANTHEM PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5515 | NE | MD | General Practice Dentistry |
| 41658 | AZ | MD | Family Medicine Physician |
| 01071269A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255532487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 4C104",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-581-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 4C104",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-581-7606"
}
],
"practiceLocations": [
{
"address_1": "1200 N. Beaver Street",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013118",
"country_code": "US",
"telephone_number": "928-214-2920",
"fax_number": "928-214-2925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELAWAR",
"first_name": "NAZIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-28",
"last_updated": "2023-03-07",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "5515",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "41658",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "41658",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01071269A",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "UT",
"license": "11581788-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201070440",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMP EDUCATIONAL PERMIT",
"identifier": "5515",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000771667",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.