Organization Active NPI

Mehareen LLP

Doing business as 21st Century Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1134118656
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEHAREEN LLP
Doing business as
21st Century Family Medicine
Practice address
7550 N 19TH Ave
Ste 201
Phoenix, AZ 85021-7980
Phone
(602) 973-3100
Fax
(602) 973-0978
NPI assigned
Oct 18, 2005
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Mr. Harinder Mohan Singh
Title
Administrator
Phone
(602) 973-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7550 N 19TH Ave
Ste 201
Phoenix, AZ 85021-7980

Mailing address

PO Box 41908
Phoenix, AZ 85080-1908
Phone (602) 973-3100

Other identifiers 1

IdentifierTypeStateIssuer
865404MedicaidAZ

Other names 1

  • 21st Century Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000126 AZ Part B Supplier - Clinic/Group Practice 9032188859 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

5757 W Thunderbird Rd
Ste E155
Glendale, AZ 85306
Phone (602) 548-9700

6707 N 19th Ave
Ste 201
Phoenix, AZ 85015
Phone (602) 246-1964

7550 N 19th Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 237-6328

Practitioners & affiliated clinicians

Practitioners 8

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": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1134118656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41908",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801908",
            "telephone_number": "602-973-3100",
            "fax_number": "602-973-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE",
            "address_2": "STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217980",
            "telephone_number": "602-973-3100",
            "fax_number": "602-973-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHAREEN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "HARINDER",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-973-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "865404",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "21st Century Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.