James Robert Nichols, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29489 Issued in AZ

Practice address

13838 S 46TH PL
Ste 320
Phoenix, AZ 85044-7804

Phone

(480) 759-5151

Fax

(480) 940-8649

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

James Nichols MD LTDGroup PAC ID 1759474455, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thema Health Services Home health agency, Phoenix, AZ, CCN 037202
• Summit Home Health LLC Home health agency, Phoenix, AZ, CCN 037482

Procedures performed for Medicare patients

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.

• James Nichols MD, LTD.

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1235338054
  Medicare reassignment Care Compare group NPD Authorized official
• Emergency Physicians Professional Association LTD

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1114931490
  NPD (past)
• Jill E Kerr, D. O. P.C.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1295917508
  NPD (past)
• Mesa General Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1568473940
  NPD (past)
• Mountain View Family Practice

  • Family Medicine Physician
  • Show Low, AZ
  • NPI 1629091020
  NPD (past)
• Payson Hospital Corporation

  • Anesthesiology Physician
  • Payson, AZ
  • NPI 1972792588

  Emergency Medicine

  NPD (past)
• Tempe Emergency Physicians, LTD

  • Emergency Medicine Physician
  • Bullhead City, AZ
  • NPI 1376934315
  NPD (past)

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

• Home Health Resources, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1477547123
  Care Compare affiliation
• Summit Home Health LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1760981427
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1497746630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL",
            "address_2": "STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447804",
            "telephone_number": "480-759-5151",
            "fax_number": "480-940-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL",
            "address_2": "STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447804",
            "telephone_number": "480-759-5151",
            "fax_number": "480-940-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "29489",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "29489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586018",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE GRP",
            "identifier": "3981220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GRP",
            "identifier": "AW1436",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "AZ0728670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnathan Tyler Nicholls, CRNA
• Brenda Nichols
• Brienna Nichols, CRNA
• Dawn Nicole Nichols, RN
• Holly N Nichols, NP
• Jodie Beth Nichols, DO
• Joe Lynn Nichols, MD
• Karen Ruth Nichols, PA-C
• Kristine B Nichols
• Shawn Leah Nichols, DDS

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.