Dilip K Bobra, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

9436 Issued in AZ

Practice address

2055 East Southern Avenue
Suite a
Tempe, AZ 85282-7507

Phone

(480) 610-6602

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

• Vascular Surgical Associates

  • Vascular Surgery Physician
  • Tempe, AZ
  • NPI 1265759484

  AZ, Vascular Surgery

  Medicare reassignment NPD Authorized official
• East Valley Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1346944428

  AZ

  Medicare reassignment NPD
• Tempe Primary Care LLC

  • Primary Care Clinic/Center
  • Tempe, AZ
  • NPI 1437983434
  NPD (past)

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

• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810

  Hospital

  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189

  Hospital

  Care Compare affiliation

Specialty

Vascular Surgery

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 4)

Locations

Networks

• NM HMO C-SNP

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2010.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1013099738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 EAST LA VIEVE LANE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843515",
            "telephone_number": "480-839-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 EAST SOUTHERN AVENUE",
            "address_2": "SUITE A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827507",
            "telephone_number": "480-610-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBRA",
        "first_name": "DILIP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "9436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Blovet
• James L Bludworth, PHD
• Sean C Blumhoff, C.C.P.
• Kimberlee Marie Blyden-Taylor, ND
• Magda Bobadilla, RBT
• Bodhi Collective, PLLC
• Bodisense Integrative Medicine
• Bodywise Chiropractic PLLC
• Bodywise Health PLLC
• Nicole Boeri, C.A.G.S., NCSP

• All providers in Tempe, AZ
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.