Active NPI
Tala Ramzi Nasr, M.D.
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1285817049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 059481
- Practice address
- 300 W Clarendon Ave
Suite 375
Phoenix, AZ 85013-3420 - Phone
- (602) 277-4164
- Fax
- (602) 266-3481
- NPI assigned
- Dec 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 059481 | GA | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
Suite 375
Phoenix, AZ 85013-3420
Mailing address
300 W Clarendon Ave
Suite 375
Phoenix, AZ 85013-3420
Phone (602) 277-4164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0549481 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059481 | GA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Baylor University Medical Center | Past | Accepting new patients | |
| Baylor Medical Center at Irving | Past | Accepting new patients | |
| Baylor Regional Medical Center at Grapevine | Past | Accepting new patients | |
| Baylor Medical Center at Waxahachie | Past | Accepting new patients | |
| Pediatrix Medical Group of Texas Billing, Inc. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273
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 and National Provider Directory roles.
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1285817049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "SUITE 375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4164",
"fax_number": "602-266-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "SUITE 375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4164",
"fax_number": "602-266-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASR",
"first_name": "TALA",
"middle_name": "RAMZI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-14",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "059481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0549481",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.