Active NPI
Abhay N Vats, MD
- Pediatric Nephrology Physician
- Glendale, AZ
National Provider Identifier
1720054323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 53293
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001754256 | Medicaid | PA | |
| 235567 | 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD066496L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Pediatrics and Pediatric Nephrology, PLLC | Pediatrics | Past | 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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1629076518
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
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.