Red Sea Infectious Diseases, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

45091 Issued in AZ

Legal business name

RED SEA INFECTIOUS DISEASES, LLC

Practice address

14502 W Meeker Blvd
Physician Is a Hospitalist
Sun City West, AZ 85375-5282

Phone

(623) 974-6611

Fax

(623) 974-9434

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Samuel H Bairu, M.D.NPI 1083828750

Title

Owner

Phone

(623) 974-6611

Specialties & licenses 1

Addresses

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.

• Samuel H Bairu, M.D.

  • Infectious Disease Physician
  • Sun City West, AZ
  • NPI 1083828750
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1285910943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR",
            "address_2": "# 7, PMB # 280",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-974-6611",
            "fax_number": "623-974-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 W MEEKER BLVD",
            "address_2": "PHYSICIAN IS A HOSPITALIST",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755282",
            "telephone_number": "623-974-6611",
            "fax_number": "623-974-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SEA INFECTIOUS DISEASES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BAIRU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-974-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "45091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenthilmurugan Rathnasabapathy, MBBS
• Kalpa Mayur Rathod, M.D.
• Jamil Razzaq, DO
• Red Poppy Healing
• Red Rock Wellness Care Center, LLC
• Denise H Reddy, MD
• Reed Chiropractic Center, Inc.
• Tom F Reese, DDS
• Ana Rebeca Paco de Matos Rego
• Benjamin George Remchek, R.N., B.S.N.

• Infectious Disease Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.