NPIMap

Individual provider Active NPI

Nicholas Brian Harrell, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1467795617
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CDR.0000672 Issued in CO
Practice address
1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone
(480) 358-6100
NPI assigned
Apr 5, 2013
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 52111 AZ
Internal Medicine Physician 207R00000X CDR.0000672 CO Primary

Addresses

Primary practice location

1301 S Crismon Rd
Mesa, AZ 85209-3767

Mailing address

1301 S Crismon Rd
Mesa, AZ 85209-3767

Other practice location 1

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (303) 390-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907002661 AZ Practitioner - HospitalistPractitioner - Internal Medicine 7012203680 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Howard University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Pulmonary Consultants P.C.Group PAC ID 4183600539, 32 clinicians

Practice addresses (Care Compare)

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone (480) 394-4000

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3261

6750 E Baywood Ave
Suite 401
Mesa, AZ 85206-1749
Phone 4808357111112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
63.74
Promoting interoperability
100
Improvement activities
40
Cost
89.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 11, 2021 Accepting new patients
Pulmonary Consultants P.C. CurrentSince Oct 1, 2024 Accepting new patients
Pulmonary Consultants P C Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 3, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 3, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 11, 2021 Accepting new patients
U Medical PLLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Honorhealth Past Accepting new patients
St Lukes Medical Center LP Past Accepting new patients
Banner Goldfield Medical Center Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

2163 E Baseline Rd
Ste 105
Tempe, AZ 85283
Phone (480) 775-3503

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBD

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1467795617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "480-358-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5880 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855019447",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "NICHOLAS",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52111",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDR.0000672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.