NPIMap

Individual provider Active NPI

Richard H Nierenberg, MD

  • Hospitalist Physician
  • Phoenix, AZ
National Provider Identifier
1598870628
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
44026 Issued in AZ
Practice address
1800 E Van Buren St
Phoenix, AZ 85006
Phone
(602) 251-8316
NPI assigned
Aug 20, 2006
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44026 AZ
Hospitalist Physician 208M00000X 44026 AZ Primary

Addresses

Primary practice location

1800 E Van Buren St
Phoenix, AZ 85006

Mailing address

32531 N Scottsdale Rd Ste 102-213
Scottsdale, AZ 85266-1519
Phone (601) 251-8316

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 288-4329

Other practice location 2

1500 S Mill Ave
Tempe, AZ 85281-6699
Phone (602) 251-8316

Other identifiers 4

IdentifierTypeStateIssuer
1419486MedicaidLA
279981200MedicaidFL
09553865MedicaidMS
640507572YMOtherMSAMERICAN ADMIN GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000015 AZ Practitioner - Internal Medicine 7315837341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Healthcare LLCGroup PAC ID 5193948867, 13 clinicians

Practice addresses (Care Compare)

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (302) 354-5471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44026AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Hospitalist Medicine Healthcare LLC Hospitalist CurrentSince Jun 1, 2014 Accepting new patients
Seasons Hospice & Palliative Care of Arizona, LLC Family Medicine PastSince Nov 1, 2020 Accepting new patients
Summit Healthcare Association Past Accepting new patients
Pacific Physician Services, LLC Past Accepting new patients
QHG of Hattiesburg Inc Past Accepting new patients
Seasons Medical Group of Arizona, PC PastSince Oct 15, 2012 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince May 1, 2023 Accepting new patients
Pine Belt Anesthesia, LLC Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1598870628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32531 N SCOTTSDALE RD STE 102-213",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661519",
            "telephone_number": "601-251-8316",
            "fax_number": "480-333-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-251-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-288-4329",
            "fax_number": "601-288-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816699",
            "country_code": "US",
            "telephone_number": "602-251-8316",
            "fax_number": "480-333-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIERENBERG",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44026",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "44026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1419486",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279981200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09553865",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572YM",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.