Desert Sky Endocrinology Associates PLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

46525 Issued in AZ

Legal business name

DESERT SKY ENDOCRINOLOGY ASSOCIATES PLC

Practice address

7115 E Baseline Rd
Suite 110
Mesa, AZ 85209-4039

Phone

(480) 246-2693

Fax

(480) 832-3005

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Vidhya Kannan, MD

Title

Owner

Phone

(480) 246-2693

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIAGAD

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reham Roshdy Farid, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1497562367
  Medicare reassignment NPD
• Mercy George

  • Primary Care Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1831705524
  Medicare reassignment NPD
• Camille Hoopes, NP

  • Nurse Practitioner
  • Chandler, AZ
  • NPI 1457036535
  Medicare reassignment NPD
• Vidhyalakshmi Kannan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Mesa, AZ
  • NPI 1275724452
  Medicare reassignment NPD
• Nadia L Cano Vazquez, CNP

  • Nurse Practitioner
  • Deming, NM
  • NPI 1174007561

  AZ

  Medicare reassignment NPD
• Marissa Rose Johnson, PA-S

  • Physician Assistant
  • Mesa, AZ
  • NPI 1588405732
  Medicare reassignment
• Marcus Morris, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
  • NPI 1447608435
  Medicare reassignment
• Kalynn Salcedo, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1124527288

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1073966487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 E BASELINE RD",
            "address_2": "SUITE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094039",
            "telephone_number": "480-246-2693",
            "fax_number": "480-832-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 E BASELINE RD",
            "address_2": "SUITE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094039",
            "telephone_number": "480-246-2693",
            "fax_number": "480-832-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SKY ENDOCRINOLOGY ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "KANNAN",
        "authorized_official_first_name": "VIDHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-246-2693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "46525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731236",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Palms
• Desert Pediatric Hospitalists PLC
• Desert Ridge Hospice LLC
• Desert Ridge Spine, Inc
• Desert Rose OBGYN PC
• Desert Sounds Audiology & Hearing Aid Services, LLC
• Desert Sounds Audiology and Hearing
• Desert Sounds Occupational Therapy
• Desert Spine and Scoliosis Center
• Desert Spine and Sports Physicians PLLC

• Endocrinology, Diabetes & Metabolism Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.