Rohit Dwivedi, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

30335 Issued in AZ

Practice address

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021

Phone

(623) 227-1000

Fax

(623) 227-2000

NPI assigned

Apr 26, 2006

Last updated

Apr 5, 2022By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ, CO, GA3 enrollments

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 3

Specialty

Internal MedicineAlso: Endocrinology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Innovative Diabetic Center LLCGroup PAC ID 5496194938, 3 clinicians

Einfectionmd LLCGroup PAC ID 6406191543, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdwivedi147752@cityofhope.direct-ci.com
• Direct secure messaging: rohit.dwivedi.1@18595.direct.athenahealth.com
• Direct secure messaging: rohit.dwivedi.1@5919.direct.athenahealth.com

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.

• Einfectionmd PC

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1417437526

  CO, Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD
• Innovative Diabetic Center, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1235997602

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD
• Sonoran Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gilbert, AZ
  • NPI 1144804030
  Medicare reassignment NPD Authorized official
• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333
  Medicare reassignment NPD
• University Emergency Medicine

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1346281235
  NPD (past)

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

• Community Hospital Association, Inc.

  dba Wickenburg Community Hospital

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Care Compare affiliation
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1255398194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 S Val Vista Dr Ste C202",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977318",
            "country_code": "US",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "ROHIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30335",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "30335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0715850",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00067262",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00626610",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bharath Duraisamy Swami Kannan
• Hector Manuel Duran, BSW
• Shane Allen Duran, DPT
• Alison Dusz, CRNP
• Taylor Duzy
• Dysart Unified School District
• Dysart Unified School District
• Dysart Unified School District
• Dysart Unified School District
• Dysart Unified School District #89

• Specialist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.