Individual provider Active NPI

Swetha Yenduru, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1407380447
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
285030 Issued in MA
Practice address
1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone
(480) 668-1600
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 285030 MA Primary

Addresses

Primary practice location

1435 S Alma School Rd
Chandler, AZ 85286-7144

Mailing address

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

Other practice location 1

2055 E South Blvd
Suite 200
Montgomery, AL 36116-2001
Phone (334) 551-2033

Other practice location 2

15 Roche Bros Way Ste 110
North Easton, MA 02356-1000
Phone (781) 792-6500

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
I20240607003076 AZ Practitioner - Internal Medicine 1456615251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Jul 27, 2024 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Jul 27, 2024 Accepting new patients

Locations

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1407380447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867144",
            "telephone_number": "480-668-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867144",
            "telephone_number": "480-668-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E South Blvd",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162001",
            "country_code": "US",
            "telephone_number": "334-551-2033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Roche Bros Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561000",
            "country_code": "US",
            "telephone_number": "781-792-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENDURU",
        "first_name": "SWETHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "285030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.