NPIMap

Individual provider Active NPI

Bindu Jayavelu, M.D.

  • Nephrology Physician
  • Mesa, AZ
National Provider Identifier
1003965278
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
36505 Issued in AZ
Practice address
301 S Power Rd Ste 103
Mesa, AZ 85206-5243
Phone
(480) 325-7535
Fax
(480) 325-7462
NPI assigned
Jan 9, 2007
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 36505 AZ Primary

Addresses

Primary practice location

301 S Power Rd Ste 103
Mesa, AZ 85206-5243

Mailing address

2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3494
Phone (480) 610-6100

Other identifiers 2

IdentifierTypeStateIssuer
234662MedicaidAZ
Z148451OtherAZBANNER MD ANDERSON CANCER CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000361 AZ Practitioner - Nephrology 1355318734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

1920 N Higley Rd
Gilbert, AZ 85234-1626

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

36889 N Tom Darlington Dr
Suite A4
Carefree, AZ 85377-4605
Phone (480) 610-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36505AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Sep 3, 2007 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Jan 27, 2014 Accepting new patients
Saint Vincent Physician Services, Inc. Internal Medicine PastSince Aug 23, 2020 Accepting new patients

Locations

36889 N Tom Darlington Dr
Ste A4
Carefree, AZ 85377
Phone (480) 488-9220

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

301 S Power Rd
Ste 103
Mesa, AZ 85206
Phone (480) 325-7535

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

9746 N 90th Pl
Ste 205
Scottsdale, AZ 85258
Phone (480) 610-6152

10440 E Riggs Rd
Ste 180
Sun Lakes, AZ 85248
Phone (480) 802-2424

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: gehbjayav@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1003965278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065243",
            "telephone_number": "480-325-7535",
            "fax_number": "480-325-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAVELU",
        "first_name": "BINDU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "36505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234662",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANNER MD ANDERSON CANCER CENTER",
            "identifier": "Z148451",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.