Individual provider Active NPI

Arvind Mahadevan, M.D.

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1114199148
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40752 Issued in AZ
Practice address
20340 N Lake Pleasant Rd
Suite 109
Peoria, AZ 85382-9714
Phone
(623) 299-9988
Fax
(623) 328-7804
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40752 AZ Primary

Addresses

Primary practice location

20340 N Lake Pleasant Rd
Suite 109
Peoria, AZ 85382-9714

Mailing address

20340 N Lake Pleasant Rd
Suite 109
Peoria, AZ 85382-9714
Phone (623) 299-9988

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
I20081105000310 AZ Practitioner - Family Practice 6901965961 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Virtumed LLCGroup PAC ID 1456714997, 2 clinicians

Practice addresses (Care Compare)

20340 N Lake Pleasant Rd
Suite 109
Peoria, AZ 85382-9713
Phone (623) 299-9988

7934 W Expedition Way
Peoria, AZ 85383-1615

Hospital & facility affiliations

  • True Promise Home Health Inc Home health agency, Scottsdale, AZ, CCN 037814
  • Mission Home Health of Phoenix Home health agency, Tempe, AZ, CCN 037433
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as individual
Quality
82.45
Promoting interoperability
97
Improvement activities
40
Cost
67.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtumed LLC CurrentSince May 15, 2025 Accepting new patients
Nextcare Arizona LLC CurrentSince Mar 18, 2015 Accepting new patients
Weight Loss MD Family Medicine Current Accepting new patients
Titan Medical LLC Family Medicine Current Accepting new patients
Virtumed LLC Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

20340 N Lake Pleasant Rd
Ste 109
Peoria, AZ 85382
Phone (623) 299-9988

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

6991 E Camelback Rd
Ste 300
Scottsdale, AZ 85251
Phone (408) 518-2712

6991 E Camelback Rd
#300
Scottsdale, AZ 85251
Phone (720) 588-2022

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

455 N Cityfront Plaza Dr
Ste 2515
Chicago, IL 60611

Interoperability endpoints

  • Direct secure messaging: arvind.mahadevan.1@10368.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 6

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.

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1114199148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20340 N LAKE PLEASANT RD",
            "address_2": "SUITE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829714",
            "telephone_number": "623-299-9988",
            "fax_number": "623-328-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20340 N LAKE PLEASANT RD",
            "address_2": "SUITE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829714",
            "telephone_number": "623-299-9988",
            "fax_number": "623-328-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVAN",
        "first_name": "ARVIND",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "40752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.