Individual provider Active NPI

Navaneeth Nambia Othayoth Ganapathiyadan, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1770202251
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74958 Issued in AZ
Practice address
10120 E Old Vail Rd Ste 100
Tucson, AZ 85747-9414
Phone
(520) 989-8012
NPI assigned
Aug 26, 2022
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74958 AZ Primary

Addresses

Primary practice location

10120 E Old Vail Rd Ste 100
Tucson, AZ 85747-9414

Mailing address

1980 W Hospital Dr Ste 209
Tucson, AZ 85704-7804
Phone (321) 945-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912003753 AZ Practitioner - Family Practice 0749664829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

10120 E Old Vail Rd
Suite 100
Tucson, AZ 85747-9414
Phone (520) 989-8012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74958AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Oct 1, 2025 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

10120 E Old Vail Rd
Ste 100
Tucson, AZ 85747
Phone (520) 989-8012

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Interoperability endpoints

  • Direct secure messaging: navaneeth.ganapathiyadan.1@1576.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1770202251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 W HOSPITAL DR STE 209",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047804",
            "telephone_number": "321-945-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 E OLD VAIL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479414",
            "telephone_number": "520-989-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAPATHIYADAN",
        "first_name": "NAVANEETH",
        "middle_name": "NAMBIA OTHAYOTH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "74958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.