Active NPI
Ur Doc, LLC
- Nephrology Physician
- Tempe, AZ
National Provider Identifier
1619598398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- UR DOC, LLC
- Practice address
- 436 E Southern Ave
Tempe, AZ 85282-5216 - Phone
- (480) 336-2039
- Fax
- (475) 275-7411
- NPI assigned
- May 4, 2020
- Last updated
- Apr 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saeed Bidar, MD
- Title
- Proprietor
- Phone
- (480) 292-4020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
436 E Southern Ave
Tempe, AZ 85282-5216
Mailing address
436 E Southern Ave
Tempe, AZ 85282-5216
Phone (480) 336-2039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 867393 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1619598398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825216",
"telephone_number": "480-336-2039",
"fax_number": "475-275-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825216",
"telephone_number": "480-336-2039",
"fax_number": "475-275-7411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UR DOC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-04",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "BIDAR",
"authorized_official_first_name": "SAEED",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "480-292-4020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "867393",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.