Nasiruddin M Jamal, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

56310 Issued in AZ

Practice address

5029 E Michelle Dr
Scottsdale, AZ 85254-7622

Phone

(713) 474-7294

Fax

(607) 770-0853

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  NPD
• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1386685923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 E MICHELLE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547622",
            "telephone_number": "713-474-7294",
            "fax_number": "607-770-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5029 E MICHELLE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547622",
            "telephone_number": "713-474-7294",
            "fax_number": "607-770-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "NASIRUDDIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "123352",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "56310",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "123352",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "56310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00412262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vijay K. Jain, PSY.D.
• Vinamra Kumar Jain, MD
• Asta Brianna Jakobsson, DO
• Amira Marie Jalaghi, DNP, APRN, FNP-BC
• Fares Jamal, MD
• Jamee Nicoletti, PHD, PLLC
• James B Vogt MD P.C.
• James Guymon, DDS, PLLC (Tatum Pediatric Dentistry)
• James J. Bouzoukis, MD, LLC
• James Jenista DDS PC

• Interventional Cardiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.