Individual provider Active NPI

G. Reshmaal Deepthi Gomes Cumaranatunge, MD

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1235325507
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
38019 Issued in AZ
Practice address
5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1869
Phone
(602) 298-7777
Fax
(623) 930-6060
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 38019 AZ Primary
Nuclear Cardiology Physician 207UN0901X 38019 AZ

Addresses

Primary practice location

5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1869

Mailing address

5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1869
Phone (602) 298-7777

Other identifiers 1

IdentifierTypeStateIssuer
318603MedicaidAZ

Other names 1

  • Dr. Reshy Gomes Professional name

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
I20080805000133 AZ Practitioner - Cardiovascular Disease (Cardiology) 3870667140 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Heart PLLCGroup PAC ID 7113906421, shared by 2 NPIs, 21 clinicians

Practice addresses (Care Compare)

5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart, PLLC Cardiovascular Disease CurrentSince Aug 16, 2008 Accepting new patients
Phoenix Heart, PLLC CurrentSince Aug 16, 2008 Accepting new patients
Hospital Development of West Phoenix Inc Cardiovascular Disease CurrentSince Nov 25, 2009 Accepting new patients
VHS of Arrowhead Inc Cardiovascular Disease Past Accepting new patients
Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC Cardiovascular Disease PastSince May 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Anesthesia Partners & Management LLC Past Accepting new patients
VHS of Phoenix Inc Cardiovascular Disease Past Accepting new patients

Locations

13028 W Rancho Santa Fe Blvd
#A
Avondale, AZ 85392

13055 W McDowell Rd
Ste E101
Avondale, AZ 85392
Phone (480) 515-0900

10320 W McDowell Rd
Ste N1445
Avondale, AZ 85392
Phone (623) 547-2100

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

4425 W Olive Ave
Ste 200
Glendale, AZ 85302
Phone (623) 930-6000

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

140 N Litchfield Rd
Ste 104
Goodyear, AZ 85338
Phone (480) 478-0444

13677 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (623) 536-4200

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

7205 S 51st Ave
Ste 103
Laveen, AZ 85339

20542 N Lake Pleasant Rd
Peoria, AZ 85382
Phone (623) 572-9090

2222 E Highland Ave
Ste 225
Phoenix, AZ 85016
Phone (602) 298-7777

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

10293 N 92nd St
Scottsdale, AZ 85258
Phone (480) 227-8383

10293 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 747-6535

9220 E Mountain View Rd
Ste 215
Scottsdale, AZ 85258
Phone (480) 214-3313

Interoperability endpoints

  • Direct secure messaging: g.reshmaal.gomes.cumaranatunge.1@24503.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
  • Direct secure messaging: g.reshmaal.gomes.cumaranatunge.1@24502.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1235325507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061869",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061869",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES CUMARANATUNGE",
        "first_name": "G. RESHMAAL",
        "middle_name": "DEEPTHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "38019",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AZ",
            "license": "38019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318603",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RESHY",
            "last_name": "GOMES",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.