Active NPI
Arun Joseph Nemivant, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1649262098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23888
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362541 | Medicaid | AZ |
Other names 1
- Arun Nemivant
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23888 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Group Specialists, LTD. | Pediatrics | Past | 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.