Individual provider Active NPI

Nima Ghadimi, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1891894333
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31412 Issued in AZ
Practice address
5111 N Scottsdale Rd Ste 143
Scottsdale, AZ 85250-7076
Phone
(480) 716-5998
Fax
(480) 716-5779
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31412 AZ Primary

Addresses

Primary practice location

5111 N Scottsdale Rd Ste 143
Scottsdale, AZ 85250-7076

Mailing address

5111 N Scottsdale Rd Ste 143
Scottsdale, AZ 85250-7076
Phone (480) 716-5998

Other identifiers 1

IdentifierTypeStateIssuer
786006MedicaidAZ

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
I20040406001418 AZ Practitioner - Internal Medicine 9537152434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5111 N Scottsdale Rd
Suite 143
Scottsdale, AZ 85250-7076
Phone (480) 716-5998

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients
SPG Hospice LLC CurrentSince Dec 6, 2018 Accepting new patients
Nugenmedicine LLC Internal Medicine CurrentSince Jun 10, 2023 Accepting new patients
United Telehealth Corp Internal Medicine CurrentSince Apr 3, 2020 Accepting new patients
Vangard Medical Inc PastSince May 1, 2003 Accepting new patients

Locations

5111 N Scottsdale Rd
Ste 143
Scottsdale, AZ 85250
Phone (480) 716-5998

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

Interoperability endpoints

  • Direct secure messaging: drghadimi@nm-az.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1891894333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507076",
            "telephone_number": "480-716-5998",
            "fax_number": "480-716-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507076",
            "telephone_number": "480-716-5998",
            "fax_number": "480-716-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADIMI",
        "first_name": "NIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.