| Arvind Durvasan, | |
|
612 W Baseline Rd, Mesa, AZ 85210-6041 | |
| (808) 349-0394 | |
| (480) 964-7802 |
| Full Name | Arvind Durvasan |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 34 Years |
| Location | 612 W Baseline Rd, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417038548 | NPI | - | NPPES |
| 159799 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35823 (Arizona) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 35823 (Arizona) | Primary |
| 208M00000X | Hospitalist | 35823 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner Heart Hospital | Mesa, AZ | Hospital |
| Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Deaconess Medical Group Inc | 6103220330 | 241 |
| Desert Kidney Associates Plc | 4284611286 | 27 |
| Entity Name | Baptist Health Deaconess Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Arvind Durvasan, 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039 | Arvind Durvasan, 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (808) 349-0394 |
Ankur Panchal, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206 Phone: 480-733-7500 |
Yury Fomin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 |
Gregg Alan Smith, D.O. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205 Phone: 480-242-6297 Fax: 480-699-3129 |
Dr. Emmanuel A Bayongan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 |
Dr. Sanjeev Gopal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 |
Dr. Alpesh Patel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 205, Mesa, AZ 85209 Phone: 480-856-8252 Fax: 470-268-9921 |
Mouhsen H Alhakeem, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 |