Organization Active NPI

M.a.Nayer, M.D.,P.C.

Doing business as Tri-State Neurological & Sleep Disorder Center

  • Neurology Physician
  • Bullhead City, AZ
National Provider Identifier
1477749091
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
M.A.NAYER, M.D.,P.C.
Doing business as
Tri-State Neurological & Sleep Disorder Center
Practice address
3015 Hiway 95
Suite 109
Bullhead City, AZ 86442-4334
Phone
(928) 763-5055
Fax
(928) 763-5056
NPI assigned
Sep 18, 2007
Last updated
Aug 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Muhammad A Nayer, MDNPI 1710090675
Title
President
Phone
(928) 763-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X AZ Primary
Neurology Physician 2084N0400X NV
Clinical Neurophysiology Physician 2084N0600X AZ
Clinical Neurophysiology Physician 2084N0600X NV

Addresses

Primary practice location

3015 Hiway 95
Suite 109
Bullhead City, AZ 86442-4334

Mailing address

PO Box 22666
Bullhead City, AZ 86439-2666
Phone (928) 763-5055

Other identifiers 1

IdentifierTypeStateIssuer
355009MedicaidAZ

Other names 1

  • TRI-STATE NEUROLOGICAL & SLEEP DISORDER CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071130000324 AZ Part B Supplier - Clinic/Group Practice 0840389706 Receives reassigned benefits from 4 practitioners
Practice locations: Bullhead City, AZ; Fort Mohave, AZ
O20130718000408 NV Part B Supplier - Clinic/Group Practice 0840389706 Receives reassigned benefits from 3 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

2020 Silver Creek Rd
Ste A111
Bullhead City, AZ 86442

2020 Silver Creek Rd
Ste A112
Bullhead City, AZ 86442
Phone (928) 704-2272

3015 Highway 95
Ste 109
Bullhead City, AZ 86442
Phone (520) 763-5055

178 N Pecos Rd
Ste 200
Henderson, NV 89074
Phone (702) 433-7999

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1477749091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22666",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864392666",
            "telephone_number": "928-763-5055",
            "fax_number": "928-763-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIWAY 95",
            "address_2": "SUITE 109",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-5055",
            "fax_number": "928-763-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.NAYER, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "NAYER",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-763-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355009",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-STATE NEUROLOGICAL & SLEEP DISORDER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.