Dr Lahav Nissim, MD - Medicare Diagnostic Radiology in Phoenix, AZ

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Dr Lahav Nissim, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Phoenix, Arizona. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Phoenix Children's Hospital, Shps Pllc and his current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-0198.

Dr Lahav Nissim is licensed to practice in Arizona (license number 41679) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235335324.

Contact Information

Dr Lahav Nissim, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710
(602) 933-0198
(602) 933-2492

Map and Direction




Physician's Profile

Full NameDr Lahav Nissim
GenderMale
SpecialityDiagnostic Radiology
Experience20 Years
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lahav Nissim attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2004
  NPI Data:
  • NPI Number: 1235335324
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 02/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284803750
  • Enrollment ID: I20110818000210

Medical Identifiers

Medical identifiers for Dr Lahav Nissim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235335324NPI-NPPES
615187MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 78350 (Arizona)Secondary
2085P0229XRadiology - Pediatric Radiology 41679 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain Vista Medical Center, LpMesa, AZHospital
Phoenix Children's HospitalPhoenix, AZHospital
St Luke's Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenix Children's Hospital0446278584265
Shps Pllc731532593320

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lahav Nissim allows following entities to bill medicare on his behalf.
Entity NameSouthwest Diagnostic Imaging Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294
Entity NamePhoenix Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20091209000071
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200526002412
Entity NameSteward Radiology Physicians Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063052793
PECOS PAC ID: 9335563600
Enrollment ID: O20200729003684
Entity NameShps Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497490056
PECOS PAC ID: 7315325933
Enrollment ID: O20220615001044
Entity NameIhs Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497148456
PECOS PAC ID: 1052622024
Enrollment ID: O20231109002480

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lahav Nissim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lahav Nissim, MD
2108 E Thomas Rd Ste 130,
Phoenix, AZ 85016-0008

Ph: (602) 933-1813		Dr Lahav Nissim, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710

Ph: (602) 933-0198

Reviews and Comments


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Dr. Abhilash P Nambiar, M.D.
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Dr. Tilina N. Hu, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.