Active NPI
Gloria Nyakerario Obaigwa
- Adult Health Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 254816
- Practice address
- 7525 E Broadway Rd
Mesa, AZ 85208-2002 - Phone
- (480) 981-4700
- NPI assigned
- Apr 6, 2021
- Last updated
- Apr 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 254816 | AZ | Primary |
Addresses
Primary practice location
7525 E Broadway Rd
Mesa, AZ 85208-2002
Mailing address
2623 N Augustine
Mesa, AZ 85207-2051
Phone (602) 579-9451
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (602) 594-5400
51 S 48TH St
Mesa, AZ 85206-1250
Phone (480) 832-8333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Medical Associates PLC | Current | Accepting new patients | |
| Allied Internal Medicine PLLC | Current | Accepting new patients | |
| Global Wound Care Medical Group | Current | Accepting new patients | |
| Minghsun Liu, MD PC | Current | Accepting new patients | |
| Az Rehab Consultants, LLC | Current | Accepting new patients | |
| WT Health of Arizona LLC | Current | Accepting new patients | |
| Gain LLC | Current | Accepting new patients | |
| Irc DC Az, LLC | Past | Accepting new patients | |
| SWPT Incorporated | Past | Accepting new patients |
Locations
41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295
2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700
1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529
3651 E Baseline Rd
Ste E230
Gilbert, AZ 85234
Phone (602) 633-9568
215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711
51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
7525 E Broadway Rd
Ste 9
Mesa, AZ 85208
Phone (480) 835-0660
2525 W Beryl Ave
Phoenix, AZ 85021
Phone (602) 424-7967
3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1124408232
-
dba AZ Rehab Consultants
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1396383402
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1114541752
-
- Infectious Disease Physician
- Anthem, AZ
- NPI 1588494728
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1902552276
-
- General Practice Physician
- Los Angeles, CA
- NPI 1235831132
-
- Nephrology Physician
- Surprise, AZ
- NPI 1386279255
-
- Physical Medicine & Rehabilitation Physician
- Surprise, AZ
- NPI 1639498090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1386223329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 N AUGUSTINE",
"city": "MESA",
"state": "AZ",
"postal_code": "852072051",
"telephone_number": "602-579-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 E BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852082002",
"telephone_number": "480-981-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAIGWA",
"first_name": "GLORIA",
"middle_name": "NYAKERARIO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "254816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.
- 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.