Sanjay Saradhi Bommakanti, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37252 Issued in AZ

Practice address

14273 W Grand Ave Ste 100
Surprise, AZ 85374-4361

Phone

(623) 428-8189

NPI assigned

Sep 4, 2007

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 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

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care Az PCGroup PAC ID 9830576354, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanjay.bommakanti.1@29601.direct.athenahealth.com
• Direct secure messaging: sanjay.bommakanti@centerwell.eclinicaldirectplus.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.

• Centerwell Senior Primary Care Az PC

  dba CenterWell Senior Primary Care-Maryvale

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1073260352
  Medicare reassignment Care Compare group NPD
• Caring Doctor LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1114576162
  NPD Authorized official
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment
• American Physicians, Inc.

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1609869908
  NPD
• Centerwell Senior Primary Care Az PC

  dba CenterWell Senior Primary Care-Wildflower

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1639826977
  NPD
• Centerwell Senior Primary Care Az PC

  dba CenterWell Senior Primary Care-Surprise

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1699582106
  NPD
• American Physicians, Inc

  • Hospitalist Physician
  • Dover Foxcroft, ME
  • NPI 1881090934

  Internal Medicine

  NPD
• Centerwell Senior Primary Care Az PC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1497401830
  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 Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1114111002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14273 W GRAND AVE STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744361",
            "telephone_number": "623-428-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMAKANTI",
        "first_name": "SANJAY",
        "middle_name": "SARADHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281108",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD#",
            "identifier": "P00628928",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sanjay.bommakanti.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14273 W Grand Ave Ste 100",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853744361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren E Bock, COTA/L
• Abiyah Chayah Boehnlein
• Patricia R Bogaard, O.D.
• Kevin Emmett Boivin, MT
• Pamela Bollinger, M.A.CCC-SLP
• Felicia Wendy Bonds, REGISTERED NURSE
• Danielle Nichole Boore, MS CAS NCSP
• Jason Booth, D.M.D.
• Mario S Borlongan Jr., M.D.
• Felix Bou, PSYD, NCSP

• Internal Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.