Individual provider Active NPI

Nada Krnjaic, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1538345848
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24505 Issued in AZ
Practice address
333 E Virginia Ave Ste 214
Phoenix, AZ 85004-1210
Phone
(602) 258-3122
Fax
(602) 258-3119
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24505 AZ Primary

Addresses

Primary practice location

333 E Virginia Ave Ste 214
Phoenix, AZ 85004-1210

Mailing address

333 E Virginia Ave Ste 214
Phoenix, AZ 85004-1210
Phone (602) 258-3122

Other identifiers 1

IdentifierTypeStateIssuer
381-640MedicaidAZ

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
I20051103000338 AZ Practitioner - Internal Medicine 3971521485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2601 N 3Rd St
Suite 203
Phoenix, AZ 85004-1145
Phone (602) 258-3122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24505AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine & Lab Diagnostics PC Internal Medicine CurrentSince Oct 6, 1997 Accepting new patients

Locations

333 E Virginia Ave
Ste 214
Phoenix, AZ 85004
Phone (602) 258-3122

333 E Virginia Ave
#214
Phoenix, AZ 85004
Phone (602) 258-3122

2601 N 3rd St
Ste 203
Phoenix, AZ 85004
Phone (602) 277-7430

Organizations & group practices 1

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 1

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1538345848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE STE 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041210",
            "telephone_number": "602-258-3122",
            "fax_number": "602-258-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE STE 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041210",
            "telephone_number": "602-258-3122",
            "fax_number": "602-258-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRNJAIC",
        "first_name": "NADA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381-640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.