Sunday Nkemdiche, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1551 W Crescent Ave
Mesa, AZ 85202-2053

Phone

(954) 664-8169

NPI assigned

Mar 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Gilbert Recker 2, LLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1407467962
  Medicare reassignment
• Hope Diabetes Center, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1104865757
  Medicare reassignment
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1619290046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W CRESCENT AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852022053",
            "telephone_number": "954-664-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W CRESCENT AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852022053",
            "telephone_number": "954-664-8169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 E Baseline Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047288",
            "country_code": "US",
            "telephone_number": "480-497-5933",
            "fax_number": "480-497-5934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKEMDICHE",
        "first_name": "SUNDAY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2024-04-08",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "TPPA510",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie D Nixon, LPC
• Miranda Gamgah Njante, APRN, FNP-PMHNP
• Emmah Njoki, PT
• Rose Njoroge
• Njyu Investments II,LLC
• Joachim Nkurikiyumukiza
• Victoria L Nobel-Matheny
• Noble Care Services LLC
• Beth Anne Noble
• Rafael Antonio Noboa-Lemonier, PA

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.