Individual provider Active NPI

Nabil Dib, MD

  • Interventional Cardiology Physician
  • Gilbert, AZ
National Provider Identifier
1508867383
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
27731 Issued in AZ
Practice address
3420 S Mercy Rd Ste 312
Gilbert, AZ 85297-0425
Phone
(480) 728-6400
Fax
(480) 728-6440
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 27731 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd Ste 312
Gilbert, AZ 85297-0425

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

655 S Dobson Rd Ste B113
Chandler, AZ 85224-5667
Phone (480) 728-5020

Other identifiers 1

IdentifierTypeStateIssuer
474875MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040503001124 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951399617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

3420 S Mercy Rd
200B DHMG Family Medicine Mercy Gilbert
Gilbert, AZ 85297-0425
Phone (480) 728-6580

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (480) 728-8000

500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sjhmc Physician Services CurrentSince Mar 2, 2015 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Dignity Community Care Past Accepting new patients
Cardiovascular and Stem Cell Consultants PC PastSince Aug 1, 2006 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

655 S Dobson Rd
Ste B113
Chandler, AZ 85224
Phone (480) 728-5020

3555 S Val Vista Dr
Ste 312
Gilbert, AZ 85297

1501 N Gilbert Rd
Ste 200
Gilbert, AZ 85234
Phone (480) 507-7901

3555 S Val Vista Dr
Ste B113
Gilbert, AZ 85297

3420 S Mercy Rd
Ste 312
Gilbert, AZ 85297
Phone (480) 728-6400

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

File 56765
Los Angeles, CA 90074

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1508867383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 312",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970425",
            "telephone_number": "480-728-6400",
            "fax_number": "480-728-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 S Dobson Rd Ste B113",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245667",
            "country_code": "US",
            "telephone_number": "480-728-5020",
            "fax_number": "480-899-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIB",
        "first_name": "NABIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "27731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474875",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.