Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Aly Jiwani

Individual provider Registered Nurse · NPI 1215820311

Mr. Aly Jiwani is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Phone: (480) 222-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 322768 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 322768 (AZ)

Record details

NPI number1215820311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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