Individual provider Active NPI

Sivakami Brenda Moorthy, DO

  • Surgical Oncology Physician
  • Glendale, AZ
National Provider Identifier
1124019575
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
4264 Issued in AZ
Practice address
5757 W Thunderbird Rd
E351
Glendale, AZ 85306-4641
Phone
(602) 374-3440
Fax
(602) 374-3441
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 4264 AZ Primary

Addresses

Primary practice location

5757 W Thunderbird Rd
E351
Glendale, AZ 85306-4641

Mailing address

5757 W Thunderbird Rd
E351
Glendale, AZ 85306-4641
Phone (602) 374-3440

Other identifiers 1

IdentifierTypeStateIssuer
954900MedicaidAZ

Other names 1

  • S Brenda Moorthy Professional 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
I20050913000257 AZ Practitioner - Surgical OncologyPractitioner - Other (Physician) 9739157785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

9179 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4912
Phone (602) 374-3440

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy93
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4264AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince May 1, 2021 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jul 1, 2015 Accepting new patients
Arizona Center for Hematology and Oncology PLC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Arizona Center for Hematology and Oncology, PLC Surgery CurrentSince Jul 1, 2015 Accepting new patients
Honorhealth Ambulatory CurrentSince May 1, 2021 Accepting new patients
Honorhealth Ambulatory Surgery Past Accepting new patients
Brenda Moorthy DO PLLC PastSince Apr 18, 2011 Accepting new patients

Locations

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

9179 W Thunderbird Rd
Ste 103
Peoria, AZ 85381

9179 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 439-2200

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

19646 N 27th Ave
Ste 407
Phoenix, AZ 85027
Phone (602) 786-0720

19646 N 27th Ave
Ste 108
Phoenix, AZ 85027
Phone (480) 278-8300

2525 W Greenway Rd
Ste 130
Phoenix, AZ 85023
Phone (602) 942-8000

7331 E Osborn Dr
Ste 305
Scottsdale, AZ 85251
Phone (480) 629-8390

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

9965 N 95th St
Ste 105
Scottsdale, AZ 85258
Phone (480) 629-8390

7331 E Osborn Rd
Ste 305
Scottsdale, AZ 85251

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

14674 W Mountain View Blvd
Ste 105
Surprise, AZ 85374
Phone (623) 238-7410

Interoperability endpoints

  • Direct secure messaging: smoorthy12376@direct.honorhealth.com

Organizations & group practices 8

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 5

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1124019575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD",
            "address_2": "E351",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "602-374-3440",
            "fax_number": "602-374-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD",
            "address_2": "E351",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "602-374-3440",
            "fax_number": "602-374-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORTHY",
        "first_name": "SIVAKAMI",
        "middle_name": "BRENDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AZ",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954900",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S",
            "last_name": "MOORTHY",
            "middle_name": "BRENDA",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.