Yuma Kidney & Dialysis Specialists PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

YUMA KIDNEY & DIALYSIS SPECIALISTS PC

Practice address

11518 N Frontage Rd Ste a
Yuma, AZ 85367-8994

Phone

(928) 342-6500

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Irfan Fazil, MDNPI 1528018819

Title

Ceo

Phone

(928) 366-7364

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irfan Fazil, M.D.

  • Nephrology Physician
  • Yuma, AZ
  • NPI 1528018819
  Medicare reassignment Care Compare group NPD Authorized official
• Christian G Cyr, NP

  • Acute Care Nurse Practitioner
  • Yuma, AZ
  • NPI 1871086249
  Medicare reassignment Care Compare group NPD
• Pauline Patricia Dell, FNP-C

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1104390335

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rocio A Eleid, M.D.

  • Nephrology Physician
  • Yuma, AZ
  • NPI 1831585439
  Medicare reassignment Care Compare group NPD
• Shahid Mansoor, MD

  • Nephrology Physician
  • Yuma, AZ
  • NPI 1053301747
  Medicare reassignment Care Compare group NPD
• Brenda Lynn Ellingson, NP

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1851513071
  Medicare reassignment NPD
• Troy Eric Francis, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1689116717

  Multi-Specialty

  Medicare reassignment NPD
• Abdul Qadeer, MBBS

  • Hospitalist Physician
  • Yuma, AZ
  • NPI 1306336375

  Nephrology

  Medicare reassignment NPD

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1295229672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "928-247-6516",
            "fax_number": "928-366-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 N FRONTAGE RD STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678994",
            "telephone_number": "928-342-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Avenue A Ste 2",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647174",
            "country_code": "US",
            "telephone_number": "928-783-0092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 North Main Street",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853498534",
            "country_code": "US",
            "telephone_number": "928-315-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YUMA KIDNEY & DIALYSIS SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "FAZIL",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-366-7364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuma Hospitality LLC
• Yuma Infectious Diseases Center PLC
• Yuma Infusion Therapy, LLC
• Yuma Integrated Pain & Rehab
• Yuma Internal Medicine LLC
• Yuma Kids Clinic, PLLC
• Yuma Medical Clinic P. C
• Yuma Medical Sonography Services
• Yuma Medical Transport
• Yuma Nephrology PC

• Nephrology Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.