Individual provider Active NPI

Sapna R Marepally, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1013107903
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37273 Issued in AZ
Practice address
4626 E Shea Blvd
C-280
Phoenix, AZ 85028-3071
Phone
(602) 374-8030
Fax
(602) 374-7728
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37273 AZ Primary

Addresses

Primary practice location

4626 E Shea Blvd
C-280
Phoenix, AZ 85028-3071

Mailing address

4626 E Shea Blvd
C-280
Phoenix, AZ 85028-3071
Phone (602) 374-8030

Other identifiers 1

IdentifierTypeStateIssuer
248025MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37273AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Family Medicine Past Accepting new patients
Acclaimed Internal Medicine PLLC Past Accepting new patients
Mydoctor LLC Past Accepting new patients
Adam Internal Medicine PLLC Past Accepting new patients
Medical Experts of Texas, P.a. PastSince Mar 1, 2014 Accepting new patients
Marepallys PLLC Family Medicine PastSince Oct 18, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sapna.marepally.1@1215.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1013107903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 E SHEA BLVD",
            "address_2": "C-280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283071",
            "telephone_number": "602-374-8030",
            "fax_number": "602-374-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 E SHEA BLVD",
            "address_2": "C-280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283071",
            "telephone_number": "602-374-8030",
            "fax_number": "602-374-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREPALLY",
        "first_name": "SAPNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.