Individual provider Active NPI

Vasudevan K.G. Nair, M.D.

  • Nephrology Physician
  • Mesa, AZ
National Provider Identifier
1629025796
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35514 Issued in AZ
Practice address
301 S Power Rd Ste 103
Mesa, AZ 85206-5243
Phone
(480) 325-7535
Fax
(480) 325-7462
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35514 AZ Primary

Addresses

Primary practice location

301 S Power Rd Ste 103
Mesa, AZ 85206-5243

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 610-6100

Other identifiers 2

IdentifierTypeStateIssuer
Z147325OtherAZBANNER MD ANDERSON CANCER CENTER
149727MedicaidAZ

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
I20060920000121 AZ Practitioner - NephrologyPractitioner - Internal Medicine 2163427469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

36889 N Tom Darlington Dr
Suite A4
Carefree, AZ 85377-4605
Phone (480) 610-6100

Hospital & facility affiliations

  • DaVita Power Road Dialysis PD Dialysis facility, Mesa, AZ, CCN 032638
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35514AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Jan 19, 2014 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients

Locations

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1920 N Higley Rd
Ste 108
Gilbert, AZ 85234
Phone (480) 543-3300

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9746 N 90th Pl
Ste 205
Scottsdale, AZ 85258
Phone (480) 610-6152

10440 E Riggs Rd
Ste 180
Sun Lakes, AZ 85248
Phone (480) 802-2424

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

2141 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 969-8714

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

Interoperability endpoints

  • Direct secure messaging: gehvnair@yourcarecommunity.org

Organizations & group practices 4

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1629025796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100",
            "fax_number": "866-301-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065243",
            "telephone_number": "480-325-7535",
            "fax_number": "480-325-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "VASUDEVAN",
        "middle_name": "K.G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "35514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANNER MD ANDERSON CANCER CENTER",
            "identifier": "Z147325",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149727",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.