Individual provider Active NPI

Prianka Radhika Chilukuri, M.D.

  • Gastroenterology Physician
  • Chandler, AZ
National Provider Identifier
1184038788
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
60450 Issued in AZ
Practice address
950 N McQueen Rd Ste 100
Chandler, AZ 85225-8133
Phone
(480) 542-7000
Fax
(480) 542-7500
NPI assigned
Jun 12, 2014
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 60450 AZ Primary

Addresses

Primary practice location

950 N McQueen Rd Ste 100
Chandler, AZ 85225-8133

Mailing address

950 N McQueen Rd Ste 100
Chandler, AZ 85225-8133
Phone (480) 542-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008002016 AZ Practitioner - Gastroenterology 3476852054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

950 N McQueen Rd
Suite 100
Chandler, AZ 85225-8126
Phone (480) 542-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60450AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Gastrointestinal Associates, PLC Gastroenterology CurrentSince Jan 20, 2025 Accepting new patients

Locations

950 N McQueen Rd
Ste 100
Chandler, AZ 85225
Phone (480) 542-7000

8761 E Bell Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 219-6662

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1184038788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MCQUEEN RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258133",
            "telephone_number": "480-542-7000",
            "fax_number": "480-542-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MCQUEEN RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258133",
            "telephone_number": "480-542-7000",
            "fax_number": "480-542-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILUKURI",
        "first_name": "PRIANKA",
        "middle_name": "RADHIKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "60450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.