Individual provider Active NPI

Nitin Garg, MBBS

  • Vascular Surgery Physician
  • Avondale, AZ
National Provider Identifier
1891914206
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
59413 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN
340143MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190912000704 AZ Practitioner - Vascular Surgery 7416091657 Reassigns benefits to 1 organization
I20231102002304 IL Practitioner - Vascular Surgery 7416091657 Reassigns benefits to 1 organization
I20251203001201 PA Practitioner - Vascular Surgery 7416091657 Reassigns benefits to 1 organization

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
Advanced Cardiovascular Center LLCGroup PAC ID 6406210822, 6 clinicians

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

ProcedureNumber 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

LicenseStateTypeSpecialty
TP871KYMDSurgery Physician
4967NEMDSurgery Physician
52443MNMDVascular Surgery Physician
2023031315MOMDVascular Surgery Physician
30039NEMDVascular Surgery Physician
MD492463CPAMDVascular Surgery Physician
34014SCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Oct 1, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 30, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 30, 2020 Accepting new patients
St Vincent Medical Education and Research Institute Inc Surgery CurrentSince Nov 18, 2025 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Baptist Health Medical Group Inc Surgery PastSince Jan 13, 2020 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases PastSince Nov 18, 2025 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

  • Direct secure messaging: ngarg1063570@direct.ahn.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.