Organization Active NPI

Sonoran Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gilbert, AZ
National Provider Identifier
1144804030
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SONORAN ENDOCRINOLOGY LLC
Practice address
3530 S Val Vista Dr Ste C202
Gilbert, AZ 85297-7318
Phone
(480) 240-8815
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Rohit Dwivedi, MDNPI 1255398194
Title
Owner
Phone
(602) 439-8380

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

3530 S Val Vista Dr Ste C202
Gilbert, AZ 85297-7318

Mailing address

6385 E Royal Palm Rd
Paradise Valley, AZ 85253-2642
Phone (602) 439-8380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260520001735 AZ Part B Supplier - Clinic/Group Practice 7719456672 Receives reassigned benefits from 1 practitioner
Practice locations: Paradise Valley, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1144804030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 E ROYAL PALM RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532642",
            "telephone_number": "602-439-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE C202",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-240-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "DWIVEDI",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-439-8380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.