Individual provider Active NPI

Raymond Nierva, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1326179003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35003 Issued in AZ
Practice address
1715 W Northern Ave
108
Phoenix, AZ 85021-5472
Phone
(602) 395-0718
Fax
(602) 277-8146
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35003 AZ Primary

Addresses

Primary practice location

1715 W Northern Ave
108
Phoenix, AZ 85021-5472

Mailing address

PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071219000771 AZ Practitioner - Anesthesiology 5597855197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Anesthesiology Consultants of Arizona PLLCGroup PAC ID 2365709847, 7 clinicians

Practice addresses (Care Compare)

9849 W Thunderbird Blvd
Sun City, AZ 85351-2963
Phone (623) 583-4440

Merit-based Incentive Payment System (MIPS)

Final score
58.09 of 100Reported as group
Quality
16.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35003AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Anesthesiology Consultants of Arizona PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients

Locations

300 E Osborn Rd
Ste 102
Phoenix, AZ 85012
Phone (602) 234-8478

10541 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 748-7810

9849 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 583-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326179003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W NORTHERN AVE",
            "address_2": "108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215472",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERVA",
        "first_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "35003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.