NPIMap

Organization Active NPI

Valley Arthritis Care LLC

  • Rheumatology Physician
  • Peoria, AZ
National Provider Identifier
1114965779
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
22399 Issued in AZ
Legal business name
VALLEY ARTHRITIS CARE LLC
Practice address
13943 N. 91St Ave
Building I
Peoria, AZ 85381
Phone
(623) 815-2690
Fax
(623) 815-2689
NPI assigned
Jun 3, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. Ravi Bhalla, M.D.NPI 1174512263
Title
President
Phone
(623) 815-2690

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
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 22399 AZ Primary

Addresses

Primary practice location

13943 N. 91St Ave
Building I
Peoria, AZ 85381

Mailing address

13943 N. 91St Ave
Building I
Peoria, AZ 85381
Phone (623) 815-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000583 AZ Part B Supplier - Clinic/Group Practice 1456345115 Receives reassigned benefits from 8 practitioners
Practice locations: Sun City West, AZ; Peoria, AZ

National Provider Directory

National Provider Directory

Locations

13660 N 94th Dr
Ste C2
Peoria, AZ 85381
Phone (623) 760-9449

13943 N 91st Ave
Ste I
Peoria, AZ 85381
Phone (623) 815-2690

13613 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 584-7154

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1114965779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N. 91ST AVE",
            "address_2": "BUILDING I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N. 91ST AVE",
            "address_2": "BUILDING I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ARTHRITIS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BHALLA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-815-2690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "22399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.