Active NPI
Sharmin Nurani, PA-C
- Physician Assistant
- Sacaton, AZ
National Provider Identifier
1972807386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4767
- Practice address
- 483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1200
- Fax
- (602) 528-1255
- NPI assigned
- Dec 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4767 | AZ | Primary |
Addresses
Primary practice location
483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038
Mailing address
2401 W Glendale Ave
Ste 203
Phoenix, AZ 85021-7673
Phone (602) 772-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | AZ | MEDICARE PENDING |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210002660 | AZ | Practitioner - Physician Assistant | 3173704988 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4767 | AZ | MD | Physician Assistant |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1972807386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W GLENDALE AVE",
"address_2": "STE 203",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217673",
"telephone_number": "602-772-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 W. SEED FARM RD.",
"city": "SACATON",
"state": "AZ",
"postal_code": "851470038",
"telephone_number": "602-528-1200",
"fax_number": "602-528-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURANI",
"first_name": "SHARMIN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-28",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PENDING",
"identifier": "000",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.