Active NPI
Nirek Rastogi, M.D.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1376651174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36997
- Practice address
- 11030 N Tatum Blvd
Ste 101
Phoenix, AZ 85028-6073 - Phone
- (602) 687-8265
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36997 | AZ | Primary |
Addresses
Primary practice location
11030 N Tatum Blvd
Ste 101
Phoenix, AZ 85028-6073
Mailing address
PO Box 31853
Phoenix, AZ 85046-1853
Phone (602) 687-8265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253109 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramount Medical Group, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1376651174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31853",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850461853",
"telephone_number": "602-687-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11030 N TATUM BLVD",
"address_2": "STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286073",
"telephone_number": "602-687-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTOGI",
"first_name": "NIREK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "36997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253109",
"state": "AZ"
}
],
"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 Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.