Individual provider Active NPI

Hemant K Pandey, MD

  • Neurology Physician
  • Chandler, AZ
National Provider Identifier
1275535403
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
42025 Issued in AZ
Practice address
4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Phone
(480) 917-3706
Fax
(480) 353-2066
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 42025 AZ
Vascular Neurology Physician 2084V0102X 42025 AZ
Neurology Physician 2084N0400X 42025 AZ Primary

Addresses

Primary practice location

4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732

Mailing address

4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Phone (480) 917-3706

Other practice location 1

1760 E Florence Blvd Ste 250
Casa Grande, AZ 85122-4769
Phone (480) 917-3706

Other practice location 2

3124 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (480) 917-3706

Other identifiers 1

IdentifierTypeStateIssuer
500621MedicaidAZ

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
I20100528000213 AZ Practitioner - Neurology 8527038090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brain and Spine Center PLCGroup PAC ID 4789713843, 7 clinicians

Practice addresses (Care Compare)

1760 E Florence Blvd
Suite 250
Casa Grande, AZ 85122-4769
Phone (480) 917-3706

4045 W Chandler Blvd
BLDG F
Chandler, AZ 85226-3732
Phone (480) 494-2061

4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.67 of 100Reported as group
Quality
94.26
Promoting interoperability
87
Improvement activities
40
Cost
75.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Spine Center PLC Neurology CurrentSince Mar 1, 2010 Accepting new patients
Brain and Spine Center of Arizona PLC Neurology Current Accepting new patients
Brain and Spine Center PLC Neurology Past Accepting new patients

Locations

301 E Cottonwood Ln
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1400

803 N Salk Dr
Casa Grande, AZ 85122
Phone (480) 917-3706

1760 E Florence Blvd
Ste 250
Casa Grande, AZ 85122
Phone (480) 494-2062

655 S Dobson Rd
Ste 103
Chandler, AZ 85224
Phone (480) 508-1255

4045 W Chandler Blvd
Bldg F
Chandler, AZ 85226
Phone (480) 494-2061

Organizations & group practices 4

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 8

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1275535403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W CHANDLER BLVD BLDG F",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263732",
            "telephone_number": "480-917-3706",
            "fax_number": "480-353-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W CHANDLER BLVD BLDG F",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263732",
            "telephone_number": "480-917-3706",
            "fax_number": "480-353-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 E Florence Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224769",
            "country_code": "US",
            "telephone_number": "480-917-3706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3124 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863016610",
            "country_code": "US",
            "telephone_number": "480-917-3706",
            "fax_number": "480-353-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "HEMANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AZ",
            "license": "42025",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "AZ",
            "license": "42025",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "42025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500621",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.