Individual provider Active NPI

Nadim T Zyadeh, MD

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1609877935
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
30881 Issued in AZ
Practice address
5815 N Black Canyon Hwy Ste 101
Phoenix, AZ 85015-2200
Phone
(602) 973-6666
Fax
(602) 812-3395
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 30881 AZ Primary

Addresses

Primary practice location

5815 N Black Canyon Hwy Ste 101
Phoenix, AZ 85015-2200

Mailing address

5815 N Black Canyon Hwy Ste 101
Phoenix, AZ 85015-2200
Phone (602) 973-6666

Other identifiers 3

IdentifierTypeStateIssuer
A7998438OtherAZAETNA
AZ0734070OtherAZBLUE CROSS BLUE SHIELD
776304MedicaidAZ

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
I20071004000868 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 7911092960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5815 N Black Canyon Hwy
Suite 101
Phoenix, AZ 85015-2200
Phone (602) 973-6666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30881AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Gastroenterology, P.L.L.C. Gastroenterology CurrentSince Oct 1, 2007 Accepting new patients

Locations

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

5815 N Black Canyon Hwy
Ste 101
Phoenix, AZ 85015
Phone (602) 973-6666

2236 W Bethany Home Rd
Ste 2
Phoenix, AZ 85015
Phone (602) 973-6666

8776 E Shea Blvd
Ste 106617
Scottsdale, AZ 85260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCGDCA/Endpoint/GCGDCA

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1609877935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 N BLACK CANYON HWY STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152200",
            "telephone_number": "602-973-6666",
            "fax_number": "602-812-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 N BLACK CANYON HWY STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152200",
            "telephone_number": "602-973-6666",
            "fax_number": "602-812-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYADEH",
        "first_name": "NADIM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "30881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "A7998438",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0734070",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776304",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.