Individual provider Active NPI

Arcot S Premkumar, MD

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1265496665
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12870 Issued in AZ
Practice address
2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone
(602) 952-0002
Fax
(602) 224-9119
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 12870 AZ Primary

Addresses

Primary practice location

2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352

Mailing address

PO Box 18892
Belfast, ME 04915-4083
Phone (888) 402-7256

Other practice location 1

5090 N 40th St
Suite 122
Phoenix, AZ 85018-2111
Phone (602) 264-5685

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
I20101124000195 AZ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7618972985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

2777 E Camelback Rd
Suite 200
Phoenix, AZ 85016-4352
Phone (602) 952-0002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12870AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jul 8, 2024 Accepting new patients
Central Arizona Medical Associates PC Pulmonary Disease Past Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: arcot.premkumar.1@600.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1265496665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18892",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154083",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164352",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5090 N 40th St",
            "address_2": "SUITE 122",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850182111",
            "country_code": "US",
            "telephone_number": "602-264-5685",
            "fax_number": "602-631-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREMKUMAR",
        "first_name": "ARCOT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "12870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.