Active NPI
Sivakami Brenda Moorthy, DO
- Surgical Oncology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 4264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954900 | Medicaid | AZ |
Other names 1
- S Brenda Moorthy
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
Enrollment records 1
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
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
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Scottsdale Osborn Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 93 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4264 | AZ | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology, PLC | Current | 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 | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Surgery | Past | Accepting new patients |
| Brenda Moorthy DO PLLC | Past | 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
- 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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
-
- Surgery Physician
- Peoria, AZ
- NPI 1083007165
-
- Urology Physician
- Surprise, AZ
- NPI 1174812382
-
- Neurology Physician
- Phoenix, AZ
- NPI 1285258137
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Specialist
- Peoria, AZ
- NPI 1427359165
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.