Organization Active NPI

Healthfirst Primary Care, PLLC

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1003086935
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24647 Issued in AZ
Legal business name
HEALTHFIRST PRIMARY CARE, PLLC
Practice address
2153 E Baseline Rd Ste 101
Tempe, AZ 85283-1545
Phone
(480) 820-1855
Fax
(480) 820-8451
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shobha Parvathala, MDNPI 1851385868
Title
Doctor / Owner
Phone
(480) 703-4496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 24647 AZ Primary

Addresses

Primary practice location

2153 E Baseline Rd Ste 101
Tempe, AZ 85283-1545

Mailing address

2153 E Baseline Rd Ste 101
Tempe, AZ 85283-1545
Phone (480) 820-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001587 AZ Part B Supplier - Clinic/Group Practice 5890775795 Receives reassigned benefits from 2 practitioners
Practice locations: Tempe, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0955082Healthfirst Primary Care PLLC2153 E Baseline Rd Ste 101, Tempe, AZ 85283Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Locations

2153 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 820-1855

2034 E Southern Ave
Ste P
Tempe, AZ 85282
Phone (480) 456-6561

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1003086935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E BASELINE RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831545",
            "telephone_number": "480-820-1855",
            "fax_number": "480-820-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 E BASELINE RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831545",
            "telephone_number": "480-820-1855",
            "fax_number": "480-820-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFIRST PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PARVATHALA",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "480-703-4496",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.