Individual provider Active NPI

Jhamiel Melchizedek Tamba Robles Phan

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1679298970
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
281933 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(928) 210-1002
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 281933 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

7027 W Southgate Ave
Phoenix, AZ 85043-6611
Phone (928) 210-1002

Other names 1

  • Jhamiel Melchizedek Tamba Robles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105001735 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284004326 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Anesthesia Services PLLCGroup PAC ID 3971850892, 49 clinicians
Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281933AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Central Arizona Endoscopy LLC Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients

Locations

2158 N Gilbert Rd
Ste 103
Mesa, AZ 85203
Phone (480) 751-3002

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

Organizations & group practices 8

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1679298970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 W SOUTHGATE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850436611",
            "telephone_number": "928-210-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "928-210-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES PHAN",
        "first_name": "JHAMIEL MELCHIZEDEK",
        "middle_name": "TAMBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "281933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JHAMIEL MELCHIZEDEK",
            "last_name": "ROBLES",
            "middle_name": "TAMBA",
            "code": "1",
            "type": "Former 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 Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.