Demetrio Bernabe Mamani, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

33878 Issued in AZ

Practice address

5601 W Eugie Ave Ste 106
Glendale, AZ 85304-1256

Phone

(602) 978-6255

Fax

(602) 564-9286

NPI assigned

Jul 25, 2006

Last updated

Nov 29, 2017By the provider in NPPES

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 1

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

Hematology/Oncology

Education

University of Arizona College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palo Verde Hematology Oncology LTDGroup PAC ID 6406840131, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Abrazo Central Campus Hospital, Phoenix, AZ, CCN 030030
• Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palo Verde Hematology Oncology LTD.

  • Hematology & Oncology Physician
  • Glendale, AZ
  • NPI 1447272372
  Medicare reassignment Care Compare group NPD
• Arizona Digestive Health, PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1992981583
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation
• VHS of Arrowhead, Inc

  dba Abrazo Arrowhead Campus

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  dba Abrazo Peoria Emergency Center

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation
• VHS of Phoenix Inc

  dba Abrazo Central Campus

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1477537363
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1598788499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD",
            "address_2": "BUILDING E- SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-941-1211",
            "fax_number": "623-478-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W EUGIE AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041256",
            "telephone_number": "602-978-6255",
            "fax_number": "602-564-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMANI",
        "first_name": "DEMETRIO",
        "middle_name": "BERNABE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AZ",
            "license": "33878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969701",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Maloney
• April Maloy, L.P.N.
• Jennifer Elizabeth Maloy
• Morgan Malson, DMD
• Ludovica Rodica Malutan
• Mammography Partners LLC
• Mammography Partners LLC
• Musa Mammy
• Mams Transportation LLC
• Mana Psychiatry LLC (Mana Psychiatry)

• Medical Oncology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.