Blupeak Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUPEAK HOSPICE LLC

Practice address

4742 N 24TH St Ste 300
Phoenix, AZ 85016-9107

Phone

(602) 753-8120

Fax

(602) 801-3865

NPI assigned

Aug 19, 2024

Organization subpart

No

Name

Rajiv Siddaramu, MDNPI 1699976522

Title

Ceo

Phone

(602) 753-7137

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

• Rajiv Siddaramu, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1699976522
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2024.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1114759057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 N 24TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169107",
            "telephone_number": "602-753-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 N 24TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169107",
            "telephone_number": "602-753-8120",
            "fax_number": "602-801-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUPEAK HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SIDDARAMU",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-753-7137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Beth Blumenthal, D.O.
• Brooke Leigh Blumetti, DO
• Kedra Jane Blunck, PHARMD
• Kelly Maureen Blunk, M.S.
• Lynn W Blunt Jr., M.D.
• George Joseph Bluth, PH.D.
• Marcia C Bluth, LCSW
• Terry Bly, CPNP
• Lindsay Blythe, DNP, RN, AGNP-C
• Bo McClain Anesthesia

• All providers in Phoenix, AZ
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.