Nurul Itqiyah Hariadi, MD - Medicare Pediatrics in Maricopa, AZ

Nurul Itqiyah Hariadi, MD is a medicare enrolled "Pediatrics" physician in Maricopa, Arizona. Her current practice location is 17900 N Porter Rd, Maricopa, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 233-2500.

Nurul Itqiyah Hariadi is licensed to practice in Michigan (license number 4301090456) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881875037.

Contact Information

Nurul Itqiyah Hariadi, MD
17900 N Porter Rd,
Maricopa, AZ 85138-4228
(520) 233-2500
(520) 233-2574



Physician's Profile

Full NameNurul Itqiyah Hariadi
GenderFemale
SpecialityPediatrics
Location17900 N Porter Rd, Maricopa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881875037
  • Provider Enumeration Date: 11/15/2007
  • Last Update Date: 07/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1951699495
  • Enrollment ID: I20161016000001

Medical Identifiers

Medical identifiers for Nurul Itqiyah Hariadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881875037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301090456 (Michigan)Primary

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. Nurul Itqiyah Hariadi allows following entities to bill medicare on her behalf.
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898

News Archive

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› Verified 3 days ago

Entity NameBanner Childrens Banner Health Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407191216
PECOS PAC ID: 2466697735
Enrollment ID: O20130315000131

News Archive

Research breakthrough in lung regeneration

Scientists at A*STAR'S Genome Institute of Singapore (GIS) and Institute of Molecular Biology (IMB), have made a breakthrough discovery in the understanding of lung regeneration. Their research showed for the first time that distal airway stem cells (DASCs), a specific type of stem cells in the lungs, are involved in forming new alveoli to replace and repair damaged lung tissue, providing a firm foundation for understanding lung regeneration.

West Nile virus epidemics in North America are driven by shifts in mosquito feeding behavior

Since its introduction to the United States in 1999, West Nile virus has become the major vector-borne disease in the U.S., with 770 reported deaths, 20,000 reported illnesses, and perhaps around a million people infected.

WellApps releases Colonoscopy Prep Assistant

WellApps, LLC, developer of GI Monitor for Crohn's and Ulcerative Colitis, announced today the release of Colonoscopy Prep Assistant. During the portion of colonoscopy preparation when a patient ingests a liquid laxative, Colonoscopy Prep Assistant tracks the number of glasses completed and time between glasses, notifying the patient when it's time to drink their next glass. The app is available for free in iTunes and the Android Market.

Humana Military receives two contracts to provide patient appointing services

Humana Inc. announced today that its wholly owned subsidiary, Humana Military Healthcare Services, was awarded two contracts to provide patient appointing services for military hospitals and clinics located in the greater Puget Sound, Washington, and Tidewater, Virginia areas.

Depression frequently seems to uncouple 'Hate Circuit' in the brain

A new study using MRI scans, led by Professor Jianfeng Feng, from the University of Warwick's Department of Computer Science, has found that depression frequently seems to uncouple the brain's "Hate Circuit".

Read more Medical News

› Verified 3 days ago

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. Nurul Itqiyah Hariadi 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
Nurul Itqiyah Hariadi, MD
17900 N Porter Rd,
Maricopa, AZ 85138-4228

Ph: (520) 233-2500
Nurul Itqiyah Hariadi, MD
17900 N Porter Rd,
Maricopa, AZ 85138-4228

Ph: (520) 233-2500

News Archive

Research breakthrough in lung regeneration

Scientists at A*STAR'S Genome Institute of Singapore (GIS) and Institute of Molecular Biology (IMB), have made a breakthrough discovery in the understanding of lung regeneration. Their research showed for the first time that distal airway stem cells (DASCs), a specific type of stem cells in the lungs, are involved in forming new alveoli to replace and repair damaged lung tissue, providing a firm foundation for understanding lung regeneration.

West Nile virus epidemics in North America are driven by shifts in mosquito feeding behavior

Since its introduction to the United States in 1999, West Nile virus has become the major vector-borne disease in the U.S., with 770 reported deaths, 20,000 reported illnesses, and perhaps around a million people infected.

WellApps releases Colonoscopy Prep Assistant

WellApps, LLC, developer of GI Monitor for Crohn's and Ulcerative Colitis, announced today the release of Colonoscopy Prep Assistant. During the portion of colonoscopy preparation when a patient ingests a liquid laxative, Colonoscopy Prep Assistant tracks the number of glasses completed and time between glasses, notifying the patient when it's time to drink their next glass. The app is available for free in iTunes and the Android Market.

Humana Military receives two contracts to provide patient appointing services

Humana Inc. announced today that its wholly owned subsidiary, Humana Military Healthcare Services, was awarded two contracts to provide patient appointing services for military hospitals and clinics located in the greater Puget Sound, Washington, and Tidewater, Virginia areas.

Depression frequently seems to uncouple 'Hate Circuit' in the brain

A new study using MRI scans, led by Professor Jianfeng Feng, from the University of Warwick's Department of Computer Science, has found that depression frequently seems to uncouple the brain's "Hate Circuit".

Read more News

› Verified 3 days ago


Pediatrics Doctors in Maricopa, AZ

Elizabeth Ann Allen, CPNP-PC
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 21300 N John Wayne Pkwy Ste 112, Maricopa, AZ 85139
Phone: 520-568-9500    
Dr. Marie Christianne Sandhya Ravi Chandar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138
Phone: 520-233-2500    
Dr. James Michael Underwood, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 44572 W Bowlin Rd, Maricopa, AZ 85138
Phone: 520-568-2316    Fax: 520-568-2316
Carrie Ann Lipp, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138
Phone: 520-233-2500    Fax: 520-233-2531
Dr. Dawn Medler Sorenson, M.D., M.P.H
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138
Phone: 520-233-2500    Fax: 520-233-2531
David Lar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138
Phone: 520-233-2500    Fax: 520-233-2688

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