Active NPI
Nader R. Ajluni, D.O.
- Pediatrics Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 006984
- Practice address
- 15351 W Bell Rd
Surprise, AZ 85374-4580 - Phone
- (480) 964-2273
- Fax
- (623) 214-5214
- NPI assigned
- May 27, 2005
- Last updated
- Jun 13, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 006984 | AZ | Primary |
| Pediatrics Physician | 208000000X | 02189 | IA |
Addresses
Primary practice location
15351 W Bell Rd
Surprise, AZ 85374-4580
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001
Other practice location 1
1856 E Florence Blvd Ste 1
Casa Grande, AZ 85122-5303
Phone (520) 836-5036
Other practice location 2
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone (602) 243-7277
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3188 | Other | IA | MIDLANDS CHOICE |
| 0258665 | Medicaid | IA | |
| 160626 | Medicaid | AZ |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02189 | IA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Locations
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
15317 W Bell Rd
Ste 100
Surprise, AZ 85374
15351 W Bell Rd
Surprise, AZ 85374
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adelante Healthcare-Wickenburg
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
-
- Federally Qualified Health Center (FQHC)
- Maricopa, AZ
- NPI 1881073443
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1649273228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N CENTRAL AVE STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122808",
"telephone_number": "623-583-3001",
"fax_number": "623-974-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15351 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744580",
"telephone_number": "480-964-2273",
"fax_number": "623-214-5214"
}
],
"practiceLocations": [
{
"address_1": "1856 E Florence Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225303",
"country_code": "US",
"telephone_number": "520-836-5036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6601 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850335700",
"country_code": "US",
"telephone_number": "602-243-7277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AJLUNI",
"first_name": "NADER",
"middle_name": "R.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "006984",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "02189",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "3188",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0258665",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160626",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.