| Apogee Medical Group Texas Pa | |
|
15059 N Scottsdale Suite 600 Scottsdale AZ 85254-2685 | |
| (602) 778-3600 | |
| (602) 778-3659 |
| Full Name | Apogee Medical Group Texas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 15059 N Scottsdale, Scottsdale, Arizona |
| Authorized Official Name and Position | Karen J. Harwell (CFO) |
| Authorized Official Contact | 6027783600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apogee Medical Group Texas Pa Po Box 708817 Sandy UT 84070-8817 Ph: (972) 269-1897 | Apogee Medical Group Texas Pa 15059 N Scottsdale Suite 600 Scottsdale AZ 85254-2685 Ph: (602) 778-3600 |
| NPI Number | 1558318071 |
|---|---|
| Provider Enumeration Date | 05/29/2006 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 9436151792 |
|---|---|
| Medicare Enrollment ID | O20070215000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558318071 | NPI | - | NPPES |
| 0090MV | Other | TX | BLUECROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Srinivasa R Mandadapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326060435 PECOS PAC ID: 7810982667 Enrollment ID: I20040420000179 |
| Provider Name | David R Ficklen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356347603 PECOS PAC ID: 2264429679 Enrollment ID: I20040428000646 |
| Provider Name | Nisha M Saran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770602237 PECOS PAC ID: 3577551167 Enrollment ID: I20040503001445 |
| Provider Name | Brian J Goerig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477593051 PECOS PAC ID: 1355324310 Enrollment ID: I20040610000763 |
| Provider Name | Michele Van De Mae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316978265 PECOS PAC ID: 6800863457 Enrollment ID: I20040913001222 |
| Provider Name | Jeffrey Fidone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316945694 PECOS PAC ID: 0446164859 Enrollment ID: I20041023000239 |
| Provider Name | Savita R Kurup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568457968 PECOS PAC ID: 0840253399 Enrollment ID: I20041105000889 |
| Provider Name | Kate Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295769826 PECOS PAC ID: 2163473828 Enrollment ID: I20050210000137 |
| Provider Name | Herbert B Daniels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841266731 PECOS PAC ID: 7416997614 Enrollment ID: I20050506000508 |
| Provider Name | Naeem As Silat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942231550 PECOS PAC ID: 7416982863 Enrollment ID: I20051004000964 |
| Provider Name | Ha Chieu Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528014800 PECOS PAC ID: 4789609033 Enrollment ID: I20051006000284 |
| Provider Name | Kifle Admassu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184664401 PECOS PAC ID: 1153346721 Enrollment ID: I20051012000880 |
| Provider Name | Nadeem Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902809486 PECOS PAC ID: 0345259081 Enrollment ID: I20060407000488 |
| Provider Name | Eugene Victor Hudman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093718793 PECOS PAC ID: 8820989189 Enrollment ID: I20060407000506 |
| Provider Name | Venkatasubbaraya C Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20070119000054 |
| Provider Name | Robert M Kleinhaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932197621 PECOS PAC ID: 5193827905 Enrollment ID: I20070226000470 |
| Provider Name | Robert David George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760442453 PECOS PAC ID: 0749383115 Enrollment ID: I20070306000342 |
| Provider Name | Gustavo N Del Toro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437288305 PECOS PAC ID: 0941307532 Enrollment ID: I20070516000032 |
| Provider Name | Mohamed S Mohamed-aly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891721700 PECOS PAC ID: 4385741982 Enrollment ID: I20070516000053 |
| Provider Name | Priti B Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964552 PECOS PAC ID: 5395841167 Enrollment ID: I20070612000733 |
| Provider Name | Qaiser Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194883207 PECOS PAC ID: 3779683792 Enrollment ID: I20070705000234 |
| Provider Name | Muhammad F Azhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972552826 PECOS PAC ID: 3577458355 Enrollment ID: I20080102000360 |
| Provider Name | Pierre Laughton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578523999 PECOS PAC ID: 2860579778 Enrollment ID: I20080402000644 |
| Provider Name | Irma C Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568635092 PECOS PAC ID: 8224109673 Enrollment ID: I20080612000620 |
| Provider Name | Mustafa Sardini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979175 PECOS PAC ID: 8628136041 Enrollment ID: I20081028000843 |
| Provider Name | Cesar Chua Uy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427217900 PECOS PAC ID: 8123187093 Enrollment ID: I20081106000594 |
| Provider Name | Vikram C Suraparaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164687430 PECOS PAC ID: 9335209535 Enrollment ID: I20081118000467 |
| Provider Name | Muzakeer Shaik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114969300 PECOS PAC ID: 6305842550 Enrollment ID: I20081201000367 |
| Provider Name | Harish Muniswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205939337 PECOS PAC ID: 0345241774 Enrollment ID: I20081222000644 |
| Provider Name | Durga P Nelapolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831299569 PECOS PAC ID: 1153398516 Enrollment ID: I20081230000173 |
| Provider Name | Iqtidar Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20090120000455 |
| Provider Name | Vinay V Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356468623 PECOS PAC ID: 7416010525 Enrollment ID: I20090129000243 |
| Provider Name | Shoaib Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003857459 PECOS PAC ID: 3375569650 Enrollment ID: I20090223000285 |
| Provider Name | Naaz Fatima F Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831346394 PECOS PAC ID: 1759446917 Enrollment ID: I20090223000321 |
| Provider Name | Nahid Naaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568623866 PECOS PAC ID: 9638236821 Enrollment ID: I20090313000473 |
| Provider Name | Anunaya Aashish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134246374 PECOS PAC ID: 0042372849 Enrollment ID: I20090323000342 |
| Provider Name | Durga P Vedati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821288499 PECOS PAC ID: 4880731124 Enrollment ID: I20091020000125 |
| Provider Name | Mustafa Firoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720040686 PECOS PAC ID: 2668375783 Enrollment ID: I20100111000821 |
| Provider Name | Anandhakrishnan Damodaran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831115484 PECOS PAC ID: 6305840125 Enrollment ID: I20100616000050 |
| Provider Name | Royal M Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588637698 PECOS PAC ID: 7719905264 Enrollment ID: I20100630000205 |
| Provider Name | Padma Nagalakshmi Munukuti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972651305 PECOS PAC ID: 7810092301 Enrollment ID: I20100720000324 |
| Provider Name | Zbigniew A Chmielewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700998978 PECOS PAC ID: 6204911902 Enrollment ID: I20100729000105 |
| Provider Name | John Byron Mcclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467520122 PECOS PAC ID: 2264565043 Enrollment ID: I20100730000120 |
| Provider Name | Kathryn J Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275868713 PECOS PAC ID: 7315071974 Enrollment ID: I20100818000216 |
| Provider Name | Michael S Gorby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366446049 PECOS PAC ID: 0345329801 Enrollment ID: I20100927000697 |
| Provider Name | Kanwal Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154585768 PECOS PAC ID: 7113111287 Enrollment ID: I20101102001253 |
| Provider Name | Muhammad Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245284165 PECOS PAC ID: 5799682001 Enrollment ID: I20101104001474 |
| Provider Name | Shemsu Balker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871545293 PECOS PAC ID: 6709897028 Enrollment ID: I20101115000664 |
| Provider Name | Olayiwola Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20101124000352 |
| Provider Name | Brandy C Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790996239 PECOS PAC ID: 4082802533 Enrollment ID: I20101228000063 |
| Provider Name | Latha M Ravichandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902966443 PECOS PAC ID: 8527243864 Enrollment ID: I20110429000486 |
| Provider Name | Joseph Jamullamudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083805139 PECOS PAC ID: 6305938861 Enrollment ID: I20110526000512 |
| Provider Name | Sajida Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447408802 PECOS PAC ID: 9032287883 Enrollment ID: I20110609000141 |
| Provider Name | Tinh D Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780875260 PECOS PAC ID: 3870771801 Enrollment ID: I20110622000507 |
| Provider Name | Raghavendri Chigullapally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447575071 PECOS PAC ID: 7315115938 Enrollment ID: I20110725000777 |
| Provider Name | Sajid Iqbal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255516647 PECOS PAC ID: 2567538366 Enrollment ID: I20110729000464 |
| Provider Name | Mohammed Alhezayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780635599 PECOS PAC ID: 7416984158 Enrollment ID: I20110923000516 |
| Provider Name | Mohan Ravindra Gadam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356509004 PECOS PAC ID: 2769668573 Enrollment ID: I20111103000633 |
| Provider Name | Chimkama Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20111117000670 |
| Provider Name | Krishna Chaithanya Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336300631 PECOS PAC ID: 3577739309 Enrollment ID: I20111229000120 |
| Provider Name | Abigail Nisan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336445956 PECOS PAC ID: 9234301698 Enrollment ID: I20120322000241 |
| Provider Name | Deepthi Bollineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730337320 PECOS PAC ID: 8022185925 Enrollment ID: I20120530000657 |
| Provider Name | Ruby Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912271552 PECOS PAC ID: 2062677701 Enrollment ID: I20120703000402 |
| Provider Name | Chirag Chavda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023314655 PECOS PAC ID: 9638347370 Enrollment ID: I20120712000533 |
| Provider Name | Matthew Phares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881859056 PECOS PAC ID: 4082862412 Enrollment ID: I20120910000675 |
| Provider Name | Mirza Qasim Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881814390 PECOS PAC ID: 9133213119 Enrollment ID: I20120912000292 |
| Provider Name | Ala'a Farahat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407055155 PECOS PAC ID: 7517019474 Enrollment ID: I20120917000133 |
| Provider Name | Hareshkumar D Boghara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962660589 PECOS PAC ID: 2961558929 Enrollment ID: I20121011000880 |
| Provider Name | Joshua L Gilchrist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720216476 PECOS PAC ID: 6204086432 Enrollment ID: I20121025000140 |
| Provider Name | Umesh Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285864777 PECOS PAC ID: 7810140407 Enrollment ID: I20130110000013 |
| Provider Name | Faith Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508157975 PECOS PAC ID: 2264605781 Enrollment ID: I20130219000032 |
| Provider Name | Srinivas Pati Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811018294 PECOS PAC ID: 1153341128 Enrollment ID: I20130507000665 |
| Provider Name | Ashwini Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457581985 PECOS PAC ID: 7810147139 Enrollment ID: I20130617000231 |
| Provider Name | Abdul Rahiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366618167 PECOS PAC ID: 9234275793 Enrollment ID: I20130711000881 |
| Provider Name | Waqar Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083746168 PECOS PAC ID: 6103710124 Enrollment ID: I20131104000101 |
| Provider Name | Jehanzeb Riaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205130218 PECOS PAC ID: 2365611522 Enrollment ID: I20140228000319 |
| Provider Name | Deonna M Bynum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821428640 PECOS PAC ID: 4385875343 Enrollment ID: I20140317000626 |
| Provider Name | Emmanuel Kasimanwuna Nwaokobia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851528475 PECOS PAC ID: 9931379922 Enrollment ID: I20140319000706 |
| Provider Name | Raza Jafry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073629986 PECOS PAC ID: 8022231406 Enrollment ID: I20140604000365 |
| Provider Name | Dena L George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417061326 PECOS PAC ID: 1951576909 Enrollment ID: I20140607000127 |
| Provider Name | Niriksha Hosakoppal Sathyanarayana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962757849 PECOS PAC ID: 8123244647 Enrollment ID: I20140718001084 |
| Provider Name | Allen R Dennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598866790 PECOS PAC ID: 7810928322 Enrollment ID: I20140718001951 |
| Provider Name | Praveen K Guntipalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820025 PECOS PAC ID: 5991951907 Enrollment ID: I20140806000644 |
| Provider Name | Alexander Parr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659682284 PECOS PAC ID: 3577707637 Enrollment ID: I20140806001077 |
| Provider Name | Ibrahim Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578807590 PECOS PAC ID: 4082834841 Enrollment ID: I20140930002154 |
| Provider Name | Atif S Siddiqui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063695336 PECOS PAC ID: 6305961590 Enrollment ID: I20141007000375 |
| Provider Name | Priyadarshini S Ranbhise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083737217 PECOS PAC ID: 8628163995 Enrollment ID: I20141022002143 |
| Provider Name | Paul J Maslanka Jr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750679049 PECOS PAC ID: 7719108927 Enrollment ID: I20141030002596 |
| Provider Name | Naga Maruthi Perisetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238922 PECOS PAC ID: 8729254883 Enrollment ID: I20141112000116 |
| Provider Name | Rashida C Henderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174843221 PECOS PAC ID: 5890943070 Enrollment ID: I20141216001974 |
| Provider Name | Krunal K Talati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871889220 PECOS PAC ID: 5698098689 Enrollment ID: I20141224000121 |
| Provider Name | Kareem M Selim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952691321 PECOS PAC ID: 8729241401 Enrollment ID: I20150120000079 |
| Provider Name | Adarsh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144585043 PECOS PAC ID: 3274755590 Enrollment ID: I20150122000481 |
| Provider Name | Madhusudhana R Mudduluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346472230 PECOS PAC ID: 1456508787 Enrollment ID: I20150127000725 |
| Provider Name | Divya P Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831355171 PECOS PAC ID: 0941470611 Enrollment ID: I20150130001556 |
| Provider Name | Saddam K Aldabag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053718346 PECOS PAC ID: 7214253384 Enrollment ID: I20150309000455 |
| Provider Name | Kristin Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417349275 PECOS PAC ID: 7618295353 Enrollment ID: I20150409001639 |
| Provider Name | Prathiba Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275814840 PECOS PAC ID: 4688892250 Enrollment ID: I20150428000167 |
| Provider Name | Shravan K Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588895957 PECOS PAC ID: 2567619745 Enrollment ID: I20150429001511 |
| Provider Name | Babiker Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261619 PECOS PAC ID: 6406167873 Enrollment ID: I20150625002490 |
| Provider Name | Rehan Saeed Yazdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326303454 PECOS PAC ID: 2163748849 Enrollment ID: I20150701000283 |
| Provider Name | Chandra Sekhar Reddy Navuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982951711 PECOS PAC ID: 6002129186 Enrollment ID: I20150717002212 |
| Provider Name | Akash Attreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20150728003464 |
| Provider Name | Madhukar Reddy Kasarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609185818 PECOS PAC ID: 8921254525 Enrollment ID: I20150922001597 |
| Provider Name | Syed Tashin Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477811321 PECOS PAC ID: 6800104274 Enrollment ID: I20151005001300 |
| Provider Name | Muhammad A Kazim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609134550 PECOS PAC ID: 0446569107 Enrollment ID: I20151020000410 |
| Provider Name | Apeksha Mall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275820698 PECOS PAC ID: 4981820198 Enrollment ID: I20151116002614 |
| Provider Name | Rahulkumar G Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780849950 PECOS PAC ID: 5294967345 Enrollment ID: I20151117000506 |
| Provider Name | Jaryn T Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639458540 PECOS PAC ID: 2163640756 Enrollment ID: I20151208001149 |
| Provider Name | Stacy Ann Forst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093037640 PECOS PAC ID: 9032349691 Enrollment ID: I20151214001421 |
| Provider Name | Sujit P Nagarkoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093965402 PECOS PAC ID: 8022156355 Enrollment ID: I20151229001984 |
| Provider Name | Curtis Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174834196 PECOS PAC ID: 0749456994 Enrollment ID: I20160115000328 |
| Provider Name | James C Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487681169 PECOS PAC ID: 0941202337 Enrollment ID: I20160119000348 |
| Provider Name | Atish D Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073810990 PECOS PAC ID: 5395979066 Enrollment ID: I20160309000995 |
| Provider Name | Andrew Tonini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780946566 PECOS PAC ID: 8426354630 Enrollment ID: I20160315001451 |
| Provider Name | Rupa M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972962074 PECOS PAC ID: 6507164068 Enrollment ID: I20160415001890 |
| Provider Name | Paul Ngugi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332137 PECOS PAC ID: 9739478876 Enrollment ID: I20160513000076 |
| Provider Name | Evelyn C Ike-thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295139186 PECOS PAC ID: 4587974357 Enrollment ID: I20160609001388 |
| Provider Name | Durga Ram Prasad Tanneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730513789 PECOS PAC ID: 4385937515 Enrollment ID: I20160726002618 |
| Provider Name | Ajuna Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210981 PECOS PAC ID: 8123314739 Enrollment ID: I20160908000634 |
| Provider Name | Srikanth Gaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083874317 PECOS PAC ID: 3678745015 Enrollment ID: I20161230000680 |
| Provider Name | Nagendra Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013221290 PECOS PAC ID: 0143464826 Enrollment ID: I20170104000229 |
| Provider Name | Rosaline Sharifi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381054 PECOS PAC ID: 0446434732 Enrollment ID: I20170113000278 |
| Provider Name | Venkata N Sheri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578832663 PECOS PAC ID: 1052552866 Enrollment ID: I20170208000376 |
| Provider Name | Kishorbhai Jadavbhai Gangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164741716 PECOS PAC ID: 4587805775 Enrollment ID: I20170323001001 |
| Provider Name | Subba Rao Daggubati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144468984 PECOS PAC ID: 8729110184 Enrollment ID: I20170411001873 |
| Provider Name | Fezan Rahman Saleemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623986 PECOS PAC ID: 0648541037 Enrollment ID: I20170803000383 |
| Provider Name | Narpinder Dhanoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801202783 PECOS PAC ID: 5496064271 Enrollment ID: I20170803002811 |
| Provider Name | Bala Sundara R Ponnam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477890614 PECOS PAC ID: 1850525197 Enrollment ID: I20170831003240 |
| Provider Name | Jeremiah Kassahun Sisay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194098111 PECOS PAC ID: 4385943059 Enrollment ID: I20170918003285 |
| Provider Name | Harish Talla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951339 PECOS PAC ID: 2567683881 Enrollment ID: I20171025001241 |
| Provider Name | Ayesha Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780828657 PECOS PAC ID: 4082865407 Enrollment ID: I20171114003484 |
| Provider Name | Hina Tareen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437569829 PECOS PAC ID: 6709143290 Enrollment ID: I20171208002206 |
| Provider Name | Johnathan Joel Swofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881105559 PECOS PAC ID: 9133487366 Enrollment ID: I20171218001056 |
| Provider Name | Tamara D Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508115049 PECOS PAC ID: 1052560455 Enrollment ID: I20180110000508 |
| Provider Name | Ashok K Malhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053657783 PECOS PAC ID: 3173767316 Enrollment ID: I20180223001235 |
| Provider Name | Duy M Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467871988 PECOS PAC ID: 1658644703 Enrollment ID: I20180227000938 |
| Provider Name | Peter K Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346788353 PECOS PAC ID: 4385906296 Enrollment ID: I20180313000038 |
| Provider Name | Oluyemi Enih Sholebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497120265 PECOS PAC ID: 5991003204 Enrollment ID: I20180411002762 |
| Provider Name | Saquib Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093789539 PECOS PAC ID: 6305908021 Enrollment ID: I20180412001863 |
| Provider Name | Andrea Mcgaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558704445 PECOS PAC ID: 4183867849 Enrollment ID: I20180627003591 |
| Provider Name | Ramachander R Eluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790036770 PECOS PAC ID: 8921319849 Enrollment ID: I20180709000498 |
| Provider Name | Anas Albrejawi Alhomsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590690 PECOS PAC ID: 3375897697 Enrollment ID: I20181126001012 |
| Provider Name | Pareshbhai J Bharodiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982006003 PECOS PAC ID: 1850685942 Enrollment ID: I20181220000243 |
| Provider Name | Charles E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124594296 PECOS PAC ID: 6103165956 Enrollment ID: I20190222001035 |
| Provider Name | Henykumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851754550 PECOS PAC ID: 4587901921 Enrollment ID: I20190723003784 |
| Provider Name | Sofiya Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528406923 PECOS PAC ID: 5395043277 Enrollment ID: I20190814000060 |
| Provider Name | Raheel Sayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366804551 PECOS PAC ID: 8426387929 Enrollment ID: I20190909003095 |
| Provider Name | Mariam Razi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306017983 PECOS PAC ID: 7214098243 Enrollment ID: I20200601001257 |
| Provider Name | Bamikole Olowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040653 PECOS PAC ID: 6305269366 Enrollment ID: I20200709000293 |
| Provider Name | Gerard Martins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962892463 PECOS PAC ID: 5294066635 Enrollment ID: I20200902001786 |
| Provider Name | Farzan Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134582505 PECOS PAC ID: 4486980828 Enrollment ID: I20200903001310 |
| Provider Name | Cindy Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275066250 PECOS PAC ID: 7810317880 Enrollment ID: I20201013000641 |
| Provider Name | Kjersti Nelle Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871197699 PECOS PAC ID: 1557774320 Enrollment ID: I20210115001801 |
| Provider Name | Renee Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285241430 PECOS PAC ID: 9638585300 Enrollment ID: I20210303002230 |
| Provider Name | John William Romeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447661764 PECOS PAC ID: 6406150853 Enrollment ID: I20210316002822 |
| Provider Name | Vinay Garlapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508271206 PECOS PAC ID: 5294092771 Enrollment ID: I20210325001029 |
| Provider Name | Abdulhamid Al-douri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093205197 PECOS PAC ID: 5890104624 Enrollment ID: I20210507001985 |
| Provider Name | Veeranna S Vibhuti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457536799 PECOS PAC ID: 3476679663 Enrollment ID: I20210729002990 |
| Provider Name | Margaret N Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952970634 PECOS PAC ID: 1658775762 Enrollment ID: I20210811004538 |
| Provider Name | Nishana Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164019782 PECOS PAC ID: 2365847647 Enrollment ID: I20210825000796 |
| Provider Name | Purav Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629464821 PECOS PAC ID: 5496050841 Enrollment ID: I20210915003541 |
| Provider Name | Hannah Obayangban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568998169 PECOS PAC ID: 8325370620 Enrollment ID: I20211019001021 |
| Provider Name | Jeffrey L Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992977623 PECOS PAC ID: 4183797442 Enrollment ID: I20211021002272 |
| Provider Name | Hind I. Elsaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487842126 PECOS PAC ID: 4981791282 Enrollment ID: I20211123000548 |
| Provider Name | Kinna G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932302114 PECOS PAC ID: 4183788516 Enrollment ID: I20220105001630 |
| Provider Name | Purav A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902338742 PECOS PAC ID: 7719224104 Enrollment ID: I20220209002405 |
| Provider Name | Olufunke Oshoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457952319 PECOS PAC ID: 3072901255 Enrollment ID: I20220224000289 |
| Provider Name | Nahla A Elzubeir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609363969 PECOS PAC ID: 9830448729 Enrollment ID: I20220520000766 |
| Provider Name | Payam Pourhassani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952789752 PECOS PAC ID: 8729333489 Enrollment ID: I20220629000821 |
| Provider Name | Jennifer M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801571096 PECOS PAC ID: 0648631937 Enrollment ID: I20230802004258 |
New Hope Unlimited, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8945 E Calle Buena Vis, Scottsdale, AZ 85255 Phone: 480-473-9808 Fax: 480-473-7916 | |
Richard J Settles, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, Suite 218, Scottsdale, AZ 85260 Phone: 480-314-9700 Fax: 480-314-9650 | |
Md Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7814 N Via De La Montana, Scottsdale, AZ 85258 Phone: 480-848-1428 | |
Akos Live Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23565 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 602-899-4404 | |
Robin F. Macdougall, D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4921 East Bell Road, Suite 102, Scottsdale, AZ 85254 Phone: 602-548-6500 Fax: 602-993-0054 | |
Lifescape Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8757 E Bell Rd, Scottsdale, AZ 85260 Phone: 480-860-5500 Fax: 480-860-5511 | |
Nanni B. Bachenheimer Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9630 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-747-3009 Fax: 480-296-7665 |