Active NPI
Allied Internal Medicine PLLC
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1124408232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALLIED INTERNAL MEDICINE PLLC
- Practice address
- 6644 E Baywood Ave
Mesa, AZ 85206-1747 - Phone
- (480) 321-2000
- NPI assigned
- Jun 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dheeraj Bobba, MD
- Title
- Sole Member
- Phone
- (602) 439-6780
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6644 E Baywood Ave
Mesa, AZ 85206-1747
Mailing address
PO Box 39334
Phoenix, AZ 85069-9334
Phone (602) 439-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150917003141 | AZ | Part B Supplier - Clinic/Group Practice | 7315251964 |
Receives reassigned benefits from 55 practitioners Practice locations: Tempe, AZ; Sun City, AZ; Mesa, AZ; Gilbert, AZ; Chandler, AZ; Apache Junction, AZ |
National Provider Directory
National Provider DirectoryLocations
3319 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 729-6500
Practitioners & affiliated clinicians
Practitioners 56
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chandler, AZ
- NPI 1659993467
AZ, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1124408232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39334",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699334",
"telephone_number": "602-439-6780",
"fax_number": "602-331-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061747",
"telephone_number": "480-321-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED INTERNAL MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "BOBBA",
"authorized_official_first_name": "DHEERAJ",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "602-439-6780",
"authorized_official_name_prefix": "Dr.",
"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 Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.