Individual provider Active NPI

Romanita Daniela Nica, MD

  • Nephrology Physician
  • Prescott, AZ
National Provider Identifier
1366486144
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34997 Issued in AZ
Practice address
3122 Willow Creek Rd
Prescott, AZ 86301-6610
Phone
(928) 445-7632
Fax
(928) 445-9283
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34997 AZ Primary

Addresses

Primary practice location

3122 Willow Creek Rd
Prescott, AZ 86301-6610

Mailing address

6622 N 91St Ave Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

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
I20060425000039 AZ Practitioner - NephrologyPractitioner - Internal Medicine 9335159151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

3122 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 445-7632

Hospital & facility affiliations

  • 032571 North Scottsdale Dialysis (FMC) Dialysis facility, Scottsdale, AZ, CCN 032571
  • Fresenius Kidney Care Prescott Valley East Dialysis facility, Prescott Valley, AZ, CCN 032659
  • Scottsdale Kidney Center, LLC Dialysis facility, Phoenix, AZ, CCN 032660
  • DaVita Prescott Dialysis Dialysis facility, Prescott, AZ, CCN 032523
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Mayo Clinic Hospital Hospital, Phoenix, AZ, CCN 030103
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jan 1, 2006 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jan 1, 2006 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Mayo Clinic Arizona CurrentSince Mar 16, 2015 Accepting new patients
Banner - University Super Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Summit Healthcare Association Current Accepting new patients
Mayo Clinic Arizona CurrentSince Mar 16, 2015 Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients

Locations (25 of 67)

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

122 E Main St
Payson, AZ 85541
Phone (928) 474-2888

1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

Interoperability endpoints

  • Direct secure messaging: romanita.nica.1@11625.direct.athenahealth.com
  • Direct secure messaging: romanitanica@shrmcshma.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1366486144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-445-7632",
            "fax_number": "928-445-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICA",
        "first_name": "ROMANITA",
        "middle_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "34997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.