Indigo Health Clinic, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INDIGO HEALTH CLINIC, PC

Practice address

9305 W Thomas Rd
#285
Phoenix, AZ 85037-3328

Phone

(623) 849-1988

Fax

(623) 849-1981

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Govinda Chandra Satapathy, MDNPI 1043237837

Title

President

Phone

(623) 849-1988

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Govinda Chandra Satapathy, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1043237837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1285651976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8753 W IRMA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826440",
            "telephone_number": "623-849-1988",
            "fax_number": "623-849-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "#285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-849-1988",
            "fax_number": "623-849-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO HEALTH CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SATAPATHY",
        "authorized_official_first_name": "GOVINDA",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-849-1988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371203",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Hospitalists, PLLC
• Indian Health Services Transportation Management
• Indian School Medical Group, LLC
• Indie Laine Learning Co LLC
• Indigo Crest Wellness LLC
• Individualized Learning Centers LLC (Nova Individualized Learning Center)
• Kelly Andrew Indovina, OD
• Industrial Hand and Physical Therapy Inc
• Industrial Hand and Physical Therapy, Inc
• Industrial Hand and Physical Therapy, Inc

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.