Individual provider Active NPI

Devendra V Gulaya, M.D.

  • Internal Medicine Physician
  • Avondale, AZ
National Provider Identifier
1336132596
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27571 Issued in AZ
Practice address
10320 W McDowell Rd
BLDG N1445
Avondale, AZ 85392-4863
Phone
(623) 547-2100
Fax
(623) 547-3005
NPI assigned
Aug 23, 2005
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27571 AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd
BLDG N1445
Avondale, AZ 85392-4863

Mailing address

10320 W McDowell Rd
BLDG N1445
Avondale, AZ 85392-4863
Phone (623) 547-2100

Other identifiers 1

IdentifierTypeStateIssuer
474461MedicaidAZ

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
I20050609001003 AZ Practitioner - Internal Medicine 0941243992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Rose Medical Consultants,P.C.Group PAC ID 1759271364, 2 clinicians

Practice addresses (Care Compare)

10320 W McDowell Rd
Avondale, AZ 85392-4879
Phone (623) 547-2100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. Past Accepting new patients
Morehouse Healthcare, Inc. Internal Medicine PastSince Jul 1, 2012 Accepting new patients
Cigna Health Care of Arizona Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGBAAA/Endpoint/HGBAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1336132596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLDG N1445",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-547-2100",
            "fax_number": "623-547-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLDG N1445",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-547-2100",
            "fax_number": "623-547-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULAYA",
        "first_name": "DEVENDRA",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474461",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.