Individual provider Active NPI

Nestor N Nazareno, M.D.

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1386617629
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23491 Issued in AZ
Practice address
14273 W Grand Ave Ste 100
Surprise, AZ 85374-4361
Phone
(623) 428-8189
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23491 AZ Primary

Addresses

Primary practice location

14273 W Grand Ave Ste 100
Surprise, AZ 85374-4361

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nestor.n.nazareno.1@29601.direct.athenahealth.com Direct

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
I20050608000969 AZ Practitioner - Internal Medicine 2860487303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care Az PCGroup PAC ID 9830576354, 47 clinicians

Practice addresses (Care Compare)

14827 W Bell Rd
Suite 103
Surprise, AZ 85374-7614
Phone (623) 544-3522

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine Past Accepting new patients

Locations

6952 E Broadway Rd
Mesa, AZ 85208
Phone (480) 325-0905

833 N Dobson Rd
Ste 103
Mesa, AZ 85201
Phone (480) 470-8268

63 N Greenfield Rd
Ste 108
Mesa, AZ 85205
Phone (602) 671-2826

10280 N 91st Ave
Peoria, AZ 85345
Phone (602) 842-9880

1704 W Bell Rd
Phoenix, AZ 85023
Phone (602) 837-5929

2070 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 834-9071

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

14813 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 834-5435

14827 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 544-3522

14273 W Grand Ave
Ste 100
Surprise, AZ 85374
Phone (623) 428-8189

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • Direct secure messaging: nestor.nazareno@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: nestor.n.nazareno.1@29601.direct.athenahealth.com

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1386617629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14273 W GRAND AVE STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744361",
            "telephone_number": "623-428-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARENO",
        "first_name": "NESTOR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nestor.n.nazareno.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14273 W Grand Ave Ste 100",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853744361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.