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MARISTELA Y NABONG-NILLAS M.D.
NPI 1629155338
Pediatrics in Mesa, AZ

Active since November 01, 2006PECOS Enrolled
1705 W MAIN ST, MESA, AZ 85201(623) 583-3001 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2021, Nov 21, 2019 (2 updates tracked since 2019).

About Maristela Y Nabong-nillas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISTELA Y NABONG-NILLAS M.D. (NPI 1629155338) is an individual pediatrics provider in Mesa, Arizona, licensed in South Carolina (30745) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629155338
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARISTELA Y NABONG-NILLASCredential: M.D.
Location Address1705 W MAIN STMesa, AZ 85201-6920
Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001 · Fax (623) 583-3007
Phone(623) 583-3001
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1629155338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 30745
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1705 W MAIN ST, Mesa, AZ 85201
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Other Identifiers 3

Medicaid307457SC
Medicaid082796AZ
Medicaid6961002NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maristela Y Nabong-nillas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN CATERO M.D.
Family Medicine
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (877) 809-5092
MARIA D CASTRO MD
Family Medicine
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (877) 809-5092
ROBERT ELK M.D.
Internal Medicine
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (877) 809-5092
LARISA R SMITH D.M.D.
Dentist
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (480) 247-7303
BRIDGETTE L TERRAZAS LCSW
Social Worker (Clinical)
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (877) 809-5092
JEAN MARIE BRADY DENTAL HYGIENIST
Dental Hygienist
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (877) 809-5092
BAYNAZIER ANSARI MD
Pediatrics
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (623) 583-3001
DR. RUSSELL ROBERTS D.O.
Internal Medicine
1705 W MAIN ST
MESA, AZ 85201
Maricopa County (877) 809-5092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maristela Nabong-nillas's NPI number?

The NPI number for Maristela Nabong-nillas is 1629155338. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Maristela Nabong-nillas located?

Maristela Nabong-nillas practices at 1705 W Main St, Mesa, AZ 85201. The listed phone number is (623) 583-3001.

What is Maristela Nabong-nillas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maristela Nabong-nillas enrolled in Medicare?

Yes. Maristela Nabong-nillas is registered in the Medicare PECOS enrollment system.

What insurance does Maristela Nabong-nillas accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Maristela Nabong-nillas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maristela Nabong-nillas was last updated on January 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.