Boru Nale, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37364 Issued in AZ

Practice address

23 S McNab Pkwy
San Manuel, AZ 85631

Phone

(520) 385-2234

Fax

(520) 385-2113

NPI assigned

Sep 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Senita Community Health CenterGroup PAC ID 3476441866, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

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.

• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ajo, AZ
  • NPI 1114037496
  Medicare reassignment Care Compare group NPD
• Nextcare Arizona LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826
  Medicare reassignment NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1447124326
  NPD
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1548794142
  NPD (past)
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891512927
  NPD (past)
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Stanfield, AZ
  • NPI 1932974672
  NPD (past)
• Pinnacle Medicine Inc.

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1326000597
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eloy, AZ
  • NPI 1588876429
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1497949226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852300097",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MCNAB PKWY",
            "city": "SAN MANUEL",
            "state": "AZ",
            "postal_code": "85631",
            "telephone_number": "520-385-2234",
            "fax_number": "520-385-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALE",
        "first_name": "BORU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FQ031828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FQ61788",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacy Kathleen Godsey, APRN-CNP
• Debra Hill
• Los Nino'S Day Care of Catalina LLC
• John Mahoney, RPH
• Mammoth-San Manuel Usd #8
• Jane Ann Newman, PH.D.
• Gary Lee Reyes, PTA
• Kent Shelton
• Sun Life Family Health Center, Inc.
• Sun Life Family Health Center, Inc.

• Family Medicine Physician in San Manuel, AZ
• Providers in San Manuel, 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 Jan 18, 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.