Active NPI
Pavan Kumar Lankaala, MD
- Hospitalist Physician
- Mesa, AZ
National Provider Identifier
1386990877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 50716
- Practice address
- 6644 E Baywood Ave
Banner Baywood Medical Center
Mesa, AZ 85206 - Phone
- (480) 321-3900
- Fax
- (480) 321-3840
- NPI assigned
- Aug 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 50716 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 50716 | AZ |
Addresses
Primary practice location
6644 E Baywood Ave
Banner Baywood Medical Center
Mesa, AZ 85206
Mailing address
6644 E Baywood Ave
Banner Baywood Medical Center
Mesa, AZ 85206
Phone (480) 321-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50716 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1386990877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"address_2": "BANNER BAYWOOD MEDICAL CENTER",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-321-3900",
"fax_number": "480-321-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"address_2": "BANNER BAYWOOD MEDICAL CENTER",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-321-3900",
"fax_number": "480-321-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANKAALA",
"first_name": "PAVAN",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "50716",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "50716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.