Active NPI
Elaine H Niggemann, M.D.
- Cardiovascular Disease Physician
- Phoenix, AZ
National Provider Identifier
1427054063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 13456
- Practice address
- 3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-3356 - Phone
- (602) 867-8644
- Fax
- (602) 795-5698
- NPI assigned
- Jun 27, 2005
- Last updated
- Aug 15, 2013
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 13456 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-3356
Mailing address
PO Box 98819
Las Vegas, NV 89193
Phone (602) 494-3659
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274374 | Medicaid | AZ | |
| AZ0753470 | Other | AZ | BLUE CROSS BLUE SHIELD |
| P00139916 | Other | AZ | RAILROAD MEDICARE |
| 2Z0872 | Other | AZ | HEALTHNET |
| 25-3408 | Other | AZ | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1427054063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98819",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89193",
"telephone_number": "602-494-3659",
"fax_number": "602-494-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "SUITE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-867-8644",
"fax_number": "602-795-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGGEMANN",
"first_name": "ELAINE",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "13456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274374",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0753470",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00139916",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Z0872",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25-3408",
"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 Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.