Active NPI
Vamsi Rokkam, M.D.
- Nephrology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 49713
- Practice address
- 6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569 - Phone
- (623) 547-4668
- Fax
- (623) 535-7869
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40917 | KY | |
| Nephrology Physician | 207RN0300X | 49713 | AZ | Primary |
Addresses
Primary practice location
6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569
Mailing address
6622 N 91St Ave Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2391971 | Other | KY | CIGNA - CMA |
| 7100006180 | Medicaid | IN | |
| 000000528055 | Other | KY | ANTHEM - CMA |
| 000023028O | Other | KY | HUMANA - CMA |
| 089054 | Other | KY | SIHO |
| 50015843 | Other | KY | PASSPORT - CMA |
| Z171026 | Other | AZ | MEDICARE PTAN - AZ |
| 200877630 | Other | IN | MEDICAID - IN |
| 2858299000 | Other | KY | PASSPORT ADVTG - CMA |
| P00439730 | Other | KY | RAILROAD MEDICARE - KY |
| 958702 | Medicaid | AZ | |
| 0998869 | Other | KY | MEDICARE - KY |
| TP218 | Other | KY | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6622 N 91St Ave
Suite 200
Glendale, AZ 85305-2569
Phone (623) 547-4668
Hospital & facility affiliations
- 032656-Fresenius Kidney Care Westgate
- 032607 Avondale Dialysis (FMC)
- Banner Estrella Medical Center
- Abrazo West Campus
- St Josephs Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.2 of 100
- Quality
- 67.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40917 | KY | MD | Internal Medicine Physician |
| 49713 | AZ | MD | Nephrology Physician |
| TP218 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc Surgery Center, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations (25 of 64)
10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668
525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498
815 S Watson Rd
Ste 101
Buckeye, AZ 85326
Phone (480) 741-4580
213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330
1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200
2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011
1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381
451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460
13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800
18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277
6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883
5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171
6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668
6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668
13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538
2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772
1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699
6638 E Baseline Rd
Ste 103
Mesa, AZ 85206
Phone (480) 396-4400
10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897
1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767
6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922
Interoperability endpoints
- vamsi.rokkam.1@11625.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Arizona Kidney Disease & Hypertension Center, LLC
- Nephrology Physician
- Phoenix, AZ
- NPI 1316902208
-
- Nephrology Physician
- Tucson, AZ
- NPI 1073840922
-
- Nephrology Physician
- Bullhead City, AZ
- NPI 1487140539
-
- Nephrology Physician
- Mesa, AZ
- NPI 1205274735
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Avondale
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Avondale, AZ
- NPI 1134231939
Dialysis facility
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park
- Emergency Care Clinic/Center
- Litchfield Park, AZ
- NPI 1265065445
Hospital
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1609408665
Hospital
-
dba St. Joseph's Hospital and Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
dba St. Joseph's Westgate Medical Center
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
dba Abrazo West Campus and Abrazo Maryvale Campus
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1174738389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 N 91ST AVE STE 220",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052569",
"telephone_number": "602-759-6883",
"fax_number": "602-224-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6622 N 91ST AVE STE 200",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052569",
"telephone_number": "623-547-4668",
"fax_number": "623-535-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKKAM",
"first_name": "VAMSI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "40917",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "49713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - CMA",
"identifier": "2391971",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100006180",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - CMA",
"identifier": "000000528055",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA - CMA",
"identifier": "000023028O",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "089054",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - CMA",
"identifier": "50015843",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - AZ",
"identifier": "Z171026",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - IN",
"identifier": "200877630",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVTG - CMA",
"identifier": "2858299000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - KY",
"identifier": "P00439730",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "958702",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - KY",
"identifier": "0998869",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "TP218",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.