Individual provider Active NPI

Arun Joseph Nemivant, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1649262098
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23888 Issued in AZ
Practice address
2030 W Whispering Wind Dr
Phoenix, AZ 85085-2853
Phone
(602) 866-0550
Fax
(602) 993-5788
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23888 AZ Primary

Addresses

Primary practice location

2030 W Whispering Wind Dr
Phoenix, AZ 85085-2853

Mailing address

15650 N Black Canyon Hwy
Suite 100
Phoenix, AZ 85053-4064
Phone (602) 866-0550

Other identifiers 1

IdentifierTypeStateIssuer
362541MedicaidAZ

Other names 1

  • Arun Nemivant Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23888AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group Specialists, LTD. Pediatrics PastSince Dec 13, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1649262098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534064",
            "telephone_number": "602-866-0550",
            "fax_number": "602-993-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W WHISPERING WIND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852853",
            "telephone_number": "602-866-0550",
            "fax_number": "602-993-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIVANT",
        "first_name": "ARUN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "23888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362541",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUN",
            "last_name": "NEMIVANT",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.