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

Nikita Nalam, DO

Individual provider Internal Medicine Physician · NPI 1063041226

Nikita Nalam, DO is an Internal Medicine in Glendale, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone: (877) 934-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 010309 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 010309 (AZ)

Record details

NPI number1063041226
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESJune 24, 2023
Certification dateJune 24, 2023
Mailing address14502 W Meeker Blvd, Sun City West, AZ 85375-5282

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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