Active NPI
Anjali B Nayak, M.D.
- Pediatric Nephrology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 57521
- Practice address
- 1920 E Cambridge Ave Ste 200
Phoenix, AZ 85006 - Phone
- (602) 933-0965
- Fax
- (602) 933-4610
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT194036 | PA | |
| Pediatric Nephrology Physician | 2080P0210X | 57521 | AZ | Primary |
Addresses
Primary practice location
1920 E Cambridge Ave Ste 200
Phoenix, AZ 85006
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1813
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505991 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1920 E Cambridge Ave
Suite 200
Phoenix, AZ 85006-1462
Phone (602) 933-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT194036 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Swedish Health Services | Pediatrics | Current | Accepting new patients |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1101 Madison St
Ste 800
Seattle, WA 98104
Interoperability endpoints
- anayak224908@direct.valleywisehealth.org
- anayak2965674@wm.providencedirect.org
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1093948275
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1619120607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E CAMELBACK RD STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182327",
"telephone_number": "602-933-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E CAMBRIDGE AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-933-0965",
"fax_number": "602-933-4610"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "717-531-8521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAYAK",
"first_name": "ANJALI",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT194036",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "AZ",
"license": "57521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505991",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.