Active NPI
Nitin Garg, MBBS
- Vascular Surgery Physician
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 59413
- Practice address
- 10825 W McDowell Rd
Suite 310
Avondale, AZ 85392 - Phone
- (602) 641-9486
- Fax
- (480) 500-8430
- NPI assigned
- Apr 24, 2007
- Last updated
- Sep 2, 2026
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 4967 | NE | |
| Vascular Surgery Physician | 2086S0129X | 34014 | SC | |
| Vascular Surgery Physician | 2086S0129X | 52443 | MN | |
| Vascular Surgery Physician | 2086S0129X | 2023031315 | MO | |
| Vascular Surgery Physician | 2086S0129X | MD492463C | PA | |
| Vascular Surgery Physician | 2086S0129X | 30039 | NE | |
| Vascular Surgery Physician | 2086S0129X | 59413 | AZ | Primary |
Addresses
Primary practice location
10825 W McDowell Rd
Suite 310
Avondale, AZ 85392
Mailing address
10825 W McDowell Rd Ste 310
Avondale, AZ 85392-5228
Phone (602) 641-9486
Other practice location 1
2115 S Fremont Ave
Springfield, MO 65804-2239
Phone (417) 820-3912
Other practice location 2
12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone (602) 641-9486
Other practice location 3
1501 S Yale St Ste 152
Flagstaff, AZ 86001-7337
Phone (602) 641-9486
Other practice location 4
1277 E Missouri Ave Ste 208
Phoenix, AZ 85014-2917
Phone (602) 641-9486
Other practice location 5
2315 Myrtle St Ste 120
Erie, PA 16502-4602
Phone (814) 456-9197
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN | |
| 340143 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13481 W McDowell Rd
Suite 400
Goodyear, AZ 85395-2725
Phone (623) 335-3044
2315 Myrtle St
Suite 120
Erie, PA 16502-4602
Phone (814) 456-9197
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP871 | KY | MD | Surgery Physician |
| 4967 | NE | MD | Surgery Physician |
| 52443 | MN | MD | Vascular Surgery Physician |
| 2023031315 | MO | MD | Vascular Surgery Physician |
| 30039 | NE | MD | Vascular Surgery Physician |
| MD492463C | PA | MD | Vascular Surgery Physician |
| 34014 | SC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| St Vincent Medical Education and Research Institute Inc | Surgery | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Surgery | Past | Accepting new patients |
| Saint Vincent Consultants in Cardiovascular Diseases | Past | Accepting new patients |
Locations
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
815 Main St
Ste A1
Peoria, IL 61602
900 Main St
Ste 280
Peoria, IL 61602
Phone (309) 643-6118
155 E State St
Albion, PA 16401
Phone (814) 756-4917
2315 Myrtle St
Ste 120
Erie, PA 16502
Phone (814) 456-9197
Interoperability endpoints
- ngarg1063570@direct.ahn.org
- ngarg565999@direct.ghs.myhfn.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Surgery
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Interventional Cardiology Physician
- Goodyear, AZ
- NPI 1346925872
-
dba Scottsdale Healthcare Primary Care Midtown
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1376952820
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Cardiovascular Disease Physician
- Erie, PA
- NPI 1902114911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1891914206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10825 W MCDOWELL RD STE 310",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925228",
"telephone_number": "602-641-9486",
"fax_number": "480-500-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10825 W MCDOWELL RD",
"address_2": "SUITE 310",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85392",
"telephone_number": "602-641-9486",
"fax_number": "480-500-8430"
}
],
"practiceLocations": [
{
"address_1": "2115 S Fremont Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658042239",
"country_code": "US",
"telephone_number": "417-820-3912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12361 W Bola Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853789021",
"country_code": "US",
"telephone_number": "602-641-9486",
"fax_number": "480-500-8430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 S Yale St Ste 152",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860017337",
"country_code": "US",
"telephone_number": "602-641-9486",
"fax_number": "480-500-8430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1277 E Missouri Ave Ste 208",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850142917",
"country_code": "US",
"telephone_number": "602-641-9486",
"fax_number": "480-500-8430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 Myrtle St Ste 120",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165024602",
"country_code": "US",
"telephone_number": "814-456-9197",
"fax_number": "814-455-2765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARG",
"first_name": "NITIN",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "4967",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "34014",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MN",
"license": "52443",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2023031315",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD492463C",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NE",
"license": "30039",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "59413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340143",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.