Individual provider Active NPI

Neeta Panse, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1073667358
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40255 Issued in AZ
Practice address
1750 W Frye Rd
Chandler, AZ 85224-6181
Phone
(480) 899-0641
Fax
(480) 899-1785
NPI assigned
Jan 23, 2007
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40255 AZ Primary
Internal Medicine Physician 207R00000X TRN8369 FL
Internal Medicine Physician 207R00000X ME99823 FL

Addresses

Primary practice location

1750 W Frye Rd
Chandler, AZ 85224-6181

Mailing address

PO Box 7540
Chandler, AZ 85246-7540
Phone (480) 926-0170

Other identifiers 2

IdentifierTypeStateIssuer
2800560-00MedicaidFL
689217868AMedicaidGA

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
I20080923000842 AZ Practitioner - Internal Medicine 0345325015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40255AZMDInternal Medicine Physician
ME99823FLMDInternal Medicine Physician
TRN8369FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Aug 4, 2015 Accepting new patients
Pioneer Medical Group PLLC Internal Medicine Past Accepting new patients

Locations

3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

15810 S 42nd St
Phoenix, AZ 85048
Phone (480) 759-0358

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1073667358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7540",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467540",
            "telephone_number": "480-926-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246181",
            "telephone_number": "480-899-0641",
            "fax_number": "480-899-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSE",
        "first_name": "NEETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40255",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN8369",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2800560-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689217868A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.