Active NPI
Sapna R Marepally, MD
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1013107903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248025 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37273 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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. | Past | Accepting new patients | |
| Marepallys PLLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1154657682
-
- Hospitalist Physician
- Chandler, AZ
- NPI 1609823129
-
- Hospitalist Physician
- Gilbert, AZ
- NPI 1548569403
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1255510459
-
- Hospitalist Physician
- Lewisville, TX
- NPI 1730395989
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.