Individual provider Active NPI

Priya Sabumon Balan, RN

  • Medical-Surgical Registered Nurse
  • Glendale, AZ
National Provider Identifier
1366015067
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
RN214133 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone
(623) 878-2100
Fax
(623) 776-9419
NPI assigned
Jul 20, 2021
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 271815 AZ
Family Nurse Practitioner 363LF0000X 271815 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 271815 AZ
Medical-Surgical Registered Nurse 163WM0705X RN214133 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762

Mailing address

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

Other practice location 1

215 S Dobson Rd Ste 4
Chandler, AZ 85224-6227
Phone (623) 878-2100

Other practice location 2

5720 W Peoria Ave Ste 101
Glendale, AZ 85302-1420
Phone (623) 878-2100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426001732 AZ Practitioner - Nurse Practitioner 9133516933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd BLDG
Suite I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
78.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN214133AZMDMedical-Surgical Registered Nurse
271815AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Satinder S. Purewal, M.D. LLC Single Specialty CurrentSince Mar 21, 2022 Accepting new patients
Satinder S. Purewal, M.D. LLC Single Specialty PastSince Feb 18, 2024 Accepting new patients
Satinder S. Purewal, M.D. LLC Single Specialty PastSince Feb 18, 2024 Accepting new patients

Locations

42104 N Venture Dr
Ste D106
Anthem, AZ 85086
Phone (602) 493-0585

215 S Dobson Rd
Ste 4
Chandler, AZ 85224
Phone (623) 878-2100

5720 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (623) 878-2100

6677 W Thunderbird Rd
Ste I164
Glendale, AZ 85306
Phone (623) 878-2100

13945 W Grand Ave
Ste 104
Surprise, AZ 85374
Phone (623) 878-2100

6891 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 416-7980

Organizations & group practices 3

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1366015067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 S Dobson Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246227",
            "country_code": "US",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5720 W Peoria Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853021420",
            "country_code": "US",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAN",
        "first_name": "PRIYA",
        "middle_name": "SABUMON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "271815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271815",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "271815",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN214133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.