Individual provider Active NPI

Thihalolipavan Sayalolipavan, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1053309039
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65664 Issued in AZ
Practice address
2070 E Baseline Rd
Phoenix, AZ 85042-6948
Phone
(602) 834-9071
Fax
(877) 541-4239
NPI assigned
Oct 12, 2005
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204887 NY
Family Medicine Physician 207Q00000X 65664 AZ Primary

Addresses

Primary practice location

2070 E Baseline Rd
Phoenix, AZ 85042-6948

Mailing address

2070 E Baseline Rd
Phoenix, AZ 85042-6948
Phone (602) 834-9071

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address thihalolipavan.sayalolipavan.1@29601.direct.athenahealth.com Direct
Direct Messaging Address thihalolipavan.sayalolipavan@centerwell.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701000557 AZ Practitioner - Family Practice 6709843600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

702 W Camelback Rd
Phoenix, AZ 85013-2291
Phone (480) 808-9215

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65664AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Family Medicine CurrentSince Jul 11, 2022 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine CurrentSince Jul 11, 2022 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine Past Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients

Locations

5016 W Cactus Rd
Glendale, AZ 85304
Phone (602) 842-4983

63 N Greenfield Rd
Ste 108
Mesa, AZ 85205
Phone (602) 671-2826

833 N Dobson Rd
Ste 103
Mesa, AZ 85201
Phone (480) 666-7683

10280 N 91st Ave
Peoria, AZ 85345
Phone (602) 842-9880

1704 W Bell Rd
Phoenix, AZ 85023
Phone (602) 837-5929

2070 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 834-9071

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

702 W Camelback Rd
Phoenix, AZ 85013
Phone (480) 808-9215

702 W Camelback Rd
Ste 10
Phoenix, AZ 85013
Phone (480) 808-9215

14813 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 834-5435

4700 Millenia Blvd
Orlando, FL 32839
Phone (407) 924-2399

Interoperability endpoints

  • Direct secure messaging: thihalolipavan.sayalolipavan.1@29601.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1053309039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426948",
            "telephone_number": "602-834-9071",
            "fax_number": "877-541-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426948",
            "telephone_number": "602-834-9071",
            "fax_number": "877-541-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYALOLIPAVAN",
        "first_name": "THIHALOLIPAVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204887",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "65664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thihalolipavan.sayalolipavan.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2070 E Baseline Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850426948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thihalolipavan.sayalolipavan@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2070 E Baseline Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850426948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.