Individual provider Active NPI

Nathan Dennis Anavy, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1609005289
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
45051 Issued in AZ
Practice address
2492 E River Rd
Tucson, AZ 85718-9552
Phone
(520) 335-6849
Fax
(520) 459-2191
NPI assigned
Jul 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 45051 AZ Primary
Internal Medicine Physician 207R00000X R71660 AZ

Addresses

Primary practice location

2492 E River Rd
Tucson, AZ 85718-9552

Mailing address

2492 E River Rd
Tucson, AZ 85718-9552
Phone (520) 722-8994

Other identifiers 1

IdentifierTypeStateIssuer
020225MedicaidAZ

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
I20150526000118 AZ Practitioner - Diagnostic Radiology 8527388016 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Cruz Radiology L L CGroup PAC ID 7012996952, 46 clinicians
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians
Southern Arizona Rad Associates LLCGroup PAC ID 9133440753, 25 clinicians

Practice addresses (Care Compare)

1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone (520) 287-2771

1281 E Cottonwood LN
Casa Grande, AZ 85122-2949
Phone (520) 836-9800

151 Colonia de Salud
Sierra Vista, AZ 85635-8223
Phone (520) 263-3900

155 Calle Portal
Suite 500
Sierra Vista, AZ 85635-2973
Phone (520) 459-5227

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (800) 475-3698

Hospital & facility affiliations

  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312
  • Holy Cross Hospital Hospital, Nogales, AZ, CCN 031313

Merit-based Incentive Payment System (MIPS)

Final score
97.01 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71660AZMDInternal Medicine Physician
45051AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Blood and Cancer Specialists, PLLC CurrentSince Jan 4, 2021 Accepting new patients
Arizona Oncology Associates PC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Southern Arizona Rad Associates, LLC Diagnostic Radiology CurrentSince Jul 4, 2015 Accepting new patients
American Oncology Partners PA Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

1281 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-9800

1710 N Mastick Way
Nogales, AZ 85621

155 Calle Portal
Ste 500
Sierra Vista, AZ 85635
Phone (520) 459-5227

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

151 Colonia de Salud
Sierra Vista, AZ 85635
Phone (520) 263-3900

2492 E River Rd
Tucson, AZ 85718
Phone (520) 335-6849

2951 N Swan Rd
Ste 155
Tucson, AZ 85712
Phone (520) 323-5900

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

Organizations & group practices 5

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 8

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": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1609005289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189552",
            "telephone_number": "520-722-8994",
            "fax_number": "520-624-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189552",
            "telephone_number": "520-335-6849",
            "fax_number": "520-459-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAVY",
        "first_name": "NATHAN",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "45051",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R71660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020225",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.