Gujjarappa Srinivas, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

36889 Issued in AZ

Practice address

600 S Dobson Rd
Suite# E 42
Chandler, AZ 85224-5678

Phone

(480) 963-4183

Fax

(480) 963-4184

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians

Pinnacle Healthcare LLCGroup PAC ID 3870939614, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Pinnacle Healthcare LLC

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1457125288

  AZ, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448

  AZ

  Medicare reassignment NPD
• Martin County Hospital District

  • Critical Access Hospital
  • Stanton, TX
  • NPI 1679560866

  TX

  Medicare reassignment NPD
• Miguel Oneto, MD, PA

  • Diagnostic Radiology Physician
  • Harlingen, TX
  • NPI 1669786950

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Plainview Radiology LLC

  • Mammography Clinic/Center
  • Plainview, TX
  • NPI 1447894282

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• County of Yoakum

  • Critical Access Hospital
  • Denver City, TX
  • NPI 1790702371

  TX

  Medicare reassignment
• Seminole Hospital District of Gaines County Texas

  • Critical Access Hospital
  • Seminole, TX
  • NPI 1821025990

  TX

  Medicare reassignment
• Arizona Advanced Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Mesa, AZ
  • NPI 1124078431
  NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• District Medical Group, Inc

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1568795532

  Diagnostic Radiology

  NPD
• Martin County Hospital District

  • Pain Management Registered Nurse
  • Stanton, TX
  • NPI 1477390227
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Havasu Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866

  Hospital

  Care Compare affiliation
• PHC-Fort Mohave Inc

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1083623656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD",
            "address_2": "SUITE# E 42",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-963-4183",
            "fax_number": "480-963-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD",
            "address_2": "SUITE# E 42",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-963-4183",
            "fax_number": "480-963-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS",
        "first_name": "GUJJARAPPA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "36889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Squier
• Katelyn Squire, PA
• Mary Eloise Squires, LPC
• Dan Inder Singh Sraow, M.D.
• Jagwinder S Sraow, M.D.
• Aishwarya Sriram, PT,DPT
• Emmanuel Cedric Ssali
• Jennifer Rebecca St Clair, M.S., LMFT
• St Francis Healthcare LLC
• Charmainge St Halaire, ND

• All providers in Chandler, AZ
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.