Organization Active NPI

Marepallys PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1154657682
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37273 Issued in AZ
Legal business name
MAREPALLYS PLLC
Practice address
4626 E Shea Blvd
. C-280
Phoenix, AZ 85028-3071
Phone
(602) 374-8030
Fax
(602) 374-7728
NPI assigned
Oct 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Sapna Marepally, MDNPI 1013107903
Title
Owner
Phone
(602) 374-8030

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 37273 AZ Primary

Addresses

Primary practice location

4626 E Shea Blvd
. C-280
Phoenix, AZ 85028-3071

Mailing address

4626 E Shea Blvd
. C-280
Phoenix, AZ 85028-3071
Phone (602) 374-8030

Other identifiers 1

IdentifierTypeStateIssuer
469803MedicaidAZ

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1154657682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 E SHEA BLVD",
            "address_2": ". C-280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283071",
            "telephone_number": "602-374-8030",
            "fax_number": "602-374-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 E SHEA BLVD",
            "address_2": ". C-280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283071",
            "telephone_number": "602-374-8030",
            "fax_number": "602-374-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREPALLYS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-18",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MAREPALLY",
        "authorized_official_first_name": "SAPNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-374-8030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469803",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.