Vijayabhanu Mahadevan, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

37475 Issued in AZ

Practice address

12665 W Smokey Dr # 140
#140
Surprise, AZ 85378-3703

Phone

(623) 219-4040

Fax

(623) 219-4050

NPI assigned

Aug 17, 2006

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

RheumatologyAlso: Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Arthritis and Rheumatology Associates - Az PLLCGroup PAC ID 1456604156, 3 clinicians

BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12816/brand/1/csg/1/fhir/r4
• Direct secure messaging: vijayabhanu.mahadevan.p32@direct.aara1.nextgenshare.com

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.

• American Arthritis & Rheumatology Associates - Az PLLC

  • Rheumatology Physician
  • Surprise, AZ
  • NPI 1346734944
  Medicare reassignment Care Compare group NPD
• Arthritis Consultants PC

  • Rheumatology Physician
  • Surprise, AZ
  • NPI 1780047985
  Authorized official Same address or phone
• Orange Medical LLC

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1497178081
  NPD (past)
• Valley Arthritis Care LLC

  • Rheumatology Physician
  • Peoria, AZ
  • NPI 1114965779
  NPD (past)
• Rheumatology and Internal Medicine, PC

  dba Shanmugam Mukundan, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1043471949
  NPD (past)

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

• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1083727333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 W SMOKEY DR # 140",
            "address_2": "#140",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783703",
            "telephone_number": "623-219-4040",
            "fax_number": "623-219-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 W SMOKEY DR # 140",
            "address_2": "#140",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783703",
            "telephone_number": "623-219-4040",
            "fax_number": "623-219-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVAN",
        "first_name": "VIJAYABHANU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101230340",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "37475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260994",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briawna Maese
• Siena Angelina Maese
• Magnolia Manor LLC
• Magnolia Sage Psychiatry LLC
• Briana Magruder Bustillo, MSOT
• Matthew Mai
• Maiden Voyage LLC (Artemis Adolescent Healing Center)
• Maiden Voyage LLC (Artemis Adolescent Healing Center)
• Jessica Marie Majcherek, FNP-BC
• Amardeep Majhail, MD

• Rheumatology Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Rheumatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.