NPIMap

Organization Active NPI

Allied Internal Medicine PLLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1124408232
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Dheeraj Bobba, MDNPI 1588878508
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

10903 W McDowell Rd
Avondale, AZ 85392
Phone (480) 660-2160

1750 W Frye Rd
Chandler, AZ 85224
Phone (480) 857-8097

3744 S Rome St
Gilbert, AZ 85297
Phone (480) 224-9500

13451 N 94th Dr
Peoria, AZ 85381
Phone (623) 303-7099

20625 N Lake Pleasant Rd
Peoria, AZ 85382
Phone (623) 476-3664

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

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.

Verify at the official NPI Registry.