Active NPI
Carlos Anaya, MD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1750460457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21347
- Practice address
- 19829 N 27TH Ave
Phoenix, AZ 85027 - Phone
- (623) 931-1225
- Fax
- (623) 931-0088
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21347 | AZ | Primary |
Addresses
Primary practice location
19829 N 27TH Ave
Phoenix, AZ 85027
Mailing address
PO Box 81349
Phoenix, AZ 85069-1349
Phone (623) 931-1225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128456 | Medicaid | AZ | |
| 18073012 | Other | AZ | STATE COMP |
| AZ0343260 | Other | AZ | AZ BCBS |
Other names 1
- Carlos Anaya
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 |
|---|---|---|---|
| 21347 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Valley Anesthesia, PLLC | 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.
-
- Specialist
- Phoenix, AZ
- NPI 1992970073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750460457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81349",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850691349",
"telephone_number": "623-931-1225",
"fax_number": "623-931-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19829 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85027",
"telephone_number": "623-931-1225",
"fax_number": "623-931-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAYA",
"first_name": "CARLOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "21347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128456",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE COMP",
"identifier": "18073012",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BCBS",
"identifier": "AZ0343260",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "ANAYA",
"credential": "MD PC",
"code": "2",
"type": "Professional 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.