Active NPI
Madhavi Naidu, MD
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 56086
- Practice address
- 840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654 - Phone
- (602) 491-0701
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301087417 | MI | |
| Family Medicine Physician | 207Q00000X | 56086 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | A157164 | CA |
Addresses
Primary practice location
840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Mailing address
840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Phone (602) 491-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157164 | CA | MD | Family Medicine Physician |
| 4301087417 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Coastal Communities Physician Network, Inc. | Current | Accepting new patients | |
| Summit Medical Group Arizona LLC | Family Medicine | Current | Accepting new patients |
| Bakersfield Family Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
1825 E Warner Rd
Tempe, AZ 85284
Phone (480) 820-9984
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
35 Casa St
Ste 170
Sn Luis Obisp, CA 93405
Phone (805) 540-5035
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Family Medicine
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
Family Medicine
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1013912641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1083813331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E MCKELLIPS RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852039654",
"telephone_number": "602-491-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 E MCKELLIPS RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852039654",
"telephone_number": "602-491-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIDU",
"first_name": "MADHAVI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301087417",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "56086",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A157164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.