Individual provider Active NPI

Madhavagopal V. Cherukuri, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1104860337
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
26286 Issued in AZ
Practice address
4444 N 32ND St Ste 120
Phoenix, AZ 85018-3956
Phone
(480) 718-5072
Fax
(480) 718-5074
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26286 AZ
Interventional Cardiology Physician 207RI0011X 26286 AZ Primary

Addresses

Primary practice location

4444 N 32ND St Ste 120
Phoenix, AZ 85018-3956

Mailing address

7373 N Scottsdale Rd Ste B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072

Other practice location 1

7373 N Scottsdale Rd Ste B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040405000374 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1254324577 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

16427 N Scottsdale Rd
Suite 100
Scottsdale, AZ 85254-8197
Phone (480) 718-5072

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

4444 N 32ND St
Suite 120
Phoenix, AZ 85018-3956
Phone (480) 718-5072

7373 N Scottsdale Rd
Suite B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Feb 20, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2010 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 1, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Mar 5, 2019 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Mar 5, 2019 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Mid-South Anesthesia Consultants, PLLC Past Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

4444 N 32nd St
Ste 120
Phoenix, AZ 85018
Phone (480) 718-5072

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

7373 N Scottsdale Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 718-5072

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: mcherukuri582263@direct.honorhealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1104860337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE B120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533555",
            "telephone_number": "480-718-5072",
            "fax_number": "480-718-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183956",
            "telephone_number": "480-718-5072",
            "fax_number": "480-718-5074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 N Scottsdale Rd Ste B120",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852533555",
            "country_code": "US",
            "telephone_number": "480-718-5072",
            "fax_number": "480-718-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "MADHAVAGOPAL",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "26286",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "26286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.