NPIMap

Organization Active NPI

Abc Neurology, P.L.L.C.

  • Neurology Physician
  • Yuma, AZ
National Provider Identifier
1356459473
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28684 Issued in AZ
Legal business name
ABC NEUROLOGY, P.L.L.C.
Practice address
1230 W 24TH St
Ste.1
Yuma, AZ 85364-6232
Phone
(928) 314-3702
Fax
(928) 314-4687
NPI assigned
Aug 28, 2006
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Bapu Chand Aluri, M.D.NPI 1487762456
Title
President
Phone
(928) 314-3702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 28684 AZ Primary

Addresses

Primary practice location

1230 W 24TH St
Ste.1
Yuma, AZ 85364-6232

Mailing address

1230 W 24TH St
Ste.1
Yuma, AZ 85364-6232
Phone (928) 314-3702

Other identifiers 3

IdentifierTypeStateIssuer
793647MedicaidAZ
AZ0880500OtherAZBC/BS OF AZ.
551095MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000000 AZ Part B Supplier - Clinic/Group Practice 1153317599 Receives reassigned benefits from 4 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

1025 W 24th St
#B
Yuma, AZ 85364
Phone (928) 314-3702

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1356459473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W 24TH ST",
            "address_2": "STE.1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646232",
            "telephone_number": "928-314-3702",
            "fax_number": "928-314-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W 24TH ST",
            "address_2": "STE.1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646232",
            "telephone_number": "928-314-3702",
            "fax_number": "928-314-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC NEUROLOGY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "ALURI",
        "authorized_official_first_name": "BAPU",
        "authorized_official_middle_name": "CHAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-314-3702",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "28684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793647",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ.",
            "identifier": "AZ0880500",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551095",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.