Devendra G Wadwekar, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

44679 Issued in AZ

Practice address

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297-1506

Phone

(480) 782-9531

Fax

(480) 782-9530

NPI assigned

Nov 10, 2005

Last updated

Dec 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Endocrinology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Diabetes and Endocrinology PLCGroup PAC ID 1153593579, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECBHBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Valley Diabetes & Endocrinology PLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gilbert, AZ
  • NPI 1871887828
  Medicare reassignment Care Compare group NPD Authorized official
• East Valley Diabetes & Endocrinology PLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1972464501
  NPD Authorized official
• East Valley Diabetes & Endocrinology PLC

  • Durable Medical Equipment & Medical Supplies
  • San Tan Valley, AZ
  • NPI 1235090861
  NPD (past) Authorized official
• The Iowa Clinic PC

  dba The Iowa Clinic

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178

  Internal Medicine

  NPD (past)
• The Iowa Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1871451328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1174504534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD",
            "address_2": "STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971506",
            "telephone_number": "480-782-9531",
            "fax_number": "480-782-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD",
            "address_2": "STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971506",
            "telephone_number": "480-782-9531",
            "fax_number": "480-782-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADWEKAR",
        "first_name": "DEVENDRA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "44679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Vyas, MD
• Brittney Ann Wade, L.M.T
• Mariah Kalon Scott Wade
• Michael Garth Wade, M.D.
• Rebecca Lynne Wadsworth
• Saudamini Devendra Wadwekar, M.D.
• Ashwin Waghray, RPH.M.B.A
• Carolyn Renee Wagner Von Hoff, PA-C
• Stella Dong Wagner, DDS
• Whitney Wagner

• Endocrinology, Diabetes & Metabolism Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.