Clinic for Digestive Diseases, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CLINIC FOR DIGESTIVE DISEASES, PC

Practice address

13203 N 103Rd Ave
Sun City, AZ 85351-3099

Phone

(623) 972-2116

Fax

(623) 972-0521

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ramkrishna R Kothur, M.D.

Title

President

Phone

(623) 972-2116

Specialties & licenses 1

Addresses

Other identifiers 13

Practitioners 3

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

• Daljit S Bal, MD

  • Gastroenterology Physician
  • Peoria, AZ
  • NPI 1144273533
  NPD (past)
• Sharad Bellapravalu, M.D.

  • Specialist
  • Scottsdale, AZ
  • NPI 1679688790
  NPD (past)
• Lawrence A Bettinger, MD

  • Specialist
  • Sun City, AZ
  • NPI 1578587390
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1093789968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513099",
            "telephone_number": "623-972-2116",
            "fax_number": "623-972-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513099",
            "telephone_number": "623-972-2116",
            "fax_number": "623-972-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR DIGESTIVE DISEASES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "KOTHUR",
        "authorized_official_first_name": "RAMKRISHNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-972-2116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ/DR BETTINGER",
            "identifier": "AZ0805210",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUN HLTH/DR BELLAPRAVALU",
            "identifier": "99S007600002",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788036",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250944-02",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268830-02",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/DR PHELPS",
            "identifier": "AZ0360800",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/DR KOTHUR",
            "identifier": "AZ0727350",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR CHOKSHI",
            "identifier": "AZ0750990",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002410-02",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/DR PATEL",
            "identifier": "AZ0187530",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208604-02",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855918",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/DR BELLAPRAVAL",
            "identifier": "AZ0361810",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara P Fajardo DDS PC
• Brenda Clausen
• Ravinder Clayton, MD
• Clinic for Chest Diseases PLLC
• Clinic for Chest Diseases, PLLC
• Lucia L Clover, M.D.
• Jaharris Ahmad Collier, MD
• Caitlin Collins, PA-C
• Earle Smith Collum, M.D.
• Colores ABA

• Specialist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.