Anthony Ikechukwu Ani, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

40547 Issued in AZ

Practice address

1400 S Dobson Rd FL 5
Mesa, AZ 85202-4707

Phone

(480) 412-7886

NPI assigned

Jan 31, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arizona Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1154860674
  Medicare reassignment NPD
• Banner Physician Super Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1841573870
  Medicare reassignment NPD
• Banner Physician Super Specialists Arizona LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1386462810
  NPD
• Arizona Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1093254419
  NPD (past)
• Hospitalists of Arizona, Inc

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1508194036

  Pediatrics

  NPD (past)
• VHS Outpatient Clinics, Inc.

  dba Arizona Sports Medicine Center (ASMC)

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1891302790
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265619373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212759",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD FL 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-412-7886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10835 North 25th Avenue",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850293452",
            "country_code": "US",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 W Dunlap Ave Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850212759",
            "country_code": "US",
            "telephone_number": "160-278-9034",
            "fax_number": "602-789-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANI",
        "first_name": "ANTHONY",
        "middle_name": "IKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "40547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Anglen, PHD
• Laurie Angood
• Deidra Williams Angulo, PSD, LISAC
• Julio F. Angulo, PH.D.
• Karyn Angulo
• Aniket Vadnerkar PLLC
• Ankur M Bant PLLC (Sanctum Internal Medicine)
• Anm Health LLC (Wild Ember Psychiatry & Therapy)
• Ann Kimmel M.D. LLC
• Anna Boehm Pmhnp, BC Psychiatry PLC

• Pediatrics Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.