Naresh Reddivalla, MD in Mesa, AZ

Naresh Reddivalla, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Mesa, Arizona. His current practice location is 1432 S Dobson Rd Ste 107, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 412-4100.

Naresh Reddivalla is licensed to practice in Arizona (license number 53522) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073851150.

Contact Information

	Naresh Reddivalla, MD
	1432 S Dobson Rd Ste 107, Mesa, AZ 85202-4769
	(480) 412-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Naresh Reddivalla
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	1432 S Dobson Rd Ste 107, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073851150
Provider Enumeration Date: 01/23/2013
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8628367711
Enrollment ID: I20170718001431

Medical Identifiers

Medical identifiers for Naresh Reddivalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073851150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	53522 (Arizona)	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. Naresh Reddivalla allows following entities to bill medicare on his behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

Entity Name	Banner Cancer Center Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224

Entity Name	Banner Physician Super Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353

Entity Name	Banner - University Super Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740650555 PECOS PAC ID: 1850695255 Enrollment ID: O20160204002443

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. Naresh Reddivalla 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 Address	Practice Location Address
Naresh Reddivalla, MD 1432 S Dobson Rd, Mesa, AZ 85202-4768 Ph: (480) 412-4100	Naresh Reddivalla, MD 1432 S Dobson Rd Ste 107, Mesa, AZ 85202-4769 Ph: (480) 412-4100

Reviews and Comments

Pediatrics Doctors in Mesa, AZ

Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500
Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887
Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201
Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013
Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551
Dr. Leno Mammen Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202 Phone: 480-412-6430

Naresh Reddivalla, MD - Medicare Pediatrics in Mesa, AZ