Individual provider Active NPI

Amruta A Vadnerkar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Gilbert, AZ
National Provider Identifier
1114165008
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
44931 Issued in AZ
Practice address
2020 E Woodside CT
Gilbert, AZ 85297-7339
Phone
(480) 730-5980
NPI assigned
Jan 30, 2009
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD435809 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 44931 AZ Primary

Addresses

Primary practice location

2020 E Woodside CT
Gilbert, AZ 85297-7339

Mailing address

2020 E Woodside CT
Gilbert, AZ 85297-7339
Phone (480) 730-5980

Other names 1

  • Nishigandha K Solegaonkar Former name

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
I20121105000355 AZ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 2365566452 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD435809PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC CurrentSince Nov 8, 2017 Accepting new patients
Vitas Solutions Inc Past Accepting new patients

Locations

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

15810 S 42nd St
Phoenix, AZ 85048
Phone (480) 759-0358

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1114165008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E WOODSIDE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977339",
            "telephone_number": "480-730-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E WOODSIDE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977339",
            "telephone_number": "480-730-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADNERKAR",
        "first_name": "AMRUTA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD435809",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "44931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHIGANDHA",
            "last_name": "SOLEGAONKAR",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.