Organization Active NPI

Caring Doctor LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1114576162
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARING DOCTOR LLC
Practice address
27412 N 58TH LN
Phoenix, AZ 85083-7394
Phone
(602) 374-6878
Fax
(888) 778-1251
NPI assigned
Sep 11, 2019
Organization subpart
Yes
Parent organization
CARING DOCTOR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Sanjay Bommakanti, MDNPI 1114111002
Title
Owner
Phone
(602) 374-6878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

27412 N 58TH LN
Phoenix, AZ 85083-7394

Mailing address

27412 N 58TH LN
Phoenix, AZ 85083-7394
Phone (602) 374-6878

National Provider Directory

National Provider Directory
Part of
Caring Doctor LLC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1114576162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27412 N 58TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837394",
            "telephone_number": "602-374-6878",
            "fax_number": "888-778-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27412 N 58TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837394",
            "telephone_number": "602-374-6878",
            "fax_number": "888-778-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING DOCTOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARING DOCTOR LLC",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "BOMMAKANTI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-374-6878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.