Individual provider Active NPI

Abhay N Vats, MD

  • Pediatric Nephrology Physician
  • Glendale, AZ
National Provider Identifier
1720054323
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
53293 Issued in AZ
Practice address
3575 W Deer Valley Rd Ste 100
Glendale, AZ 85308-2037
Phone
(480) 585-5200
Fax
(602) 933-4610
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD066496L PA
Pediatrics Physician 208000000X 53293 AZ
Pediatrics Physician 208000000X MD066496L PA
Pediatric Nephrology Physician 2080P0210X MD066496L PA
Pediatric Nephrology Physician 2080P0210X 53293 AZ Primary

Addresses

Primary practice location

3575 W Deer Valley Rd Ste 100
Glendale, AZ 85308-2037

Mailing address

7010 E Chauncey LN Ste 225
Phoenix, AZ 85054-3117
Phone (602) 933-1814

Other identifiers 2

IdentifierTypeStateIssuer
001754256MedicaidPA
235567MedicaidAZ

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
MD066496LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC Pediatrics PastSince Oct 27, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1720054323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 W DEER VALLEY RD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082037",
            "telephone_number": "480-585-5200",
            "fax_number": "602-933-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATS",
        "first_name": "ABHAY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD066496L",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "53293",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD066496L",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PA",
            "license": "MD066496L",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "AZ",
            "license": "53293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001754256",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235567",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.