Active NPI
Robert Eugene Nenad Jr., MD
- Pediatric Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 18524
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-1000
- NPI assigned
- Jan 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18524 | AZ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 18524 | AZ | |
| Pediatric Anesthesiology Physician | 207LP3000X | 18524 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other practice location 1
1850 N Central Ave
Suite1600
Phoenix, AZ 85004-4633
Phone (602) 744-4765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287210 | Medicaid | AZ | |
| 050026494 | Other | MEDICARE RAILROAD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children's Hospital | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Squaw Peak Anesthesia Inc | Past | Accepting new patients |
Locations
3370 S Mercy Rd
Ste 112
Gilbert, AZ 85297
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
2108 E Thomas Rd
Phoenix, AZ 85016
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
Organizations & group practices 4
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.
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Registered Nurse
- Tempe, AZ
- NPI 1134352925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1952371528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-1000"
}
],
"practiceLocations": [
{
"address_1": "1850 N Central Ave",
"address_2": "Suite1600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850044633",
"country_code": "US",
"telephone_number": "602-744-4765",
"fax_number": "602-744-4799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NENAD",
"first_name": "ROBERT",
"middle_name": "EUGENE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "18524",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "18524",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "AZ",
"license": "18524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287210",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050026494",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Nov 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.