Individual provider Active NPI

Perminder S Sanghera, MD

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1417028523
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25323 Issued in AZ
Practice address
13350 N 94TH Dr
Suite A101
Peoria, AZ 85381-4826
Phone
(623) 933-1010
Fax
(623) 933-3383
NPI assigned
Nov 11, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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 25323 AZ Primary

Addresses

Primary practice location

13350 N 94TH Dr
Suite A101
Peoria, AZ 85381-4826

Mailing address

13350 N 94TH Dr
Suite A101
Peoria, AZ 85381-4826
Phone (623) 933-1010

Other identifiers 1

IdentifierTypeStateIssuer
401927MedicaidAZ

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
I20040901001301 AZ Practitioner - Internal Medicine 7315912235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Internal Medicine Associates LLCGroup PAC ID 0244255560, 4 clinicians
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

13350 N 94TH Dr
Peoria, AZ 85381-4826
Phone (623) 933-1010

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25323AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dvma, LLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Affiliated Internal Medicine Associates, LLC Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients
West Valley Internal Medicine Associates LLC Internal Medicine Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Encompass Health Valleyofthesun Rehabilitation Hospital, LLC Past Accepting new patients
West Valley Urgent Care Past Accepting new patients

Locations

13460 N 67th Ave
Glendale, AZ 85304
Phone (623) 334-5387

13820 N 51st Ave
Ste 400
Glendale, AZ 85306
Phone (602) 938-1706

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

7201 W Camino San Xavier
Glendale, AZ 85308
Phone (623) 271-8704

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1417028523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR",
            "address_2": "SUITE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814826",
            "telephone_number": "623-933-1010",
            "fax_number": "623-933-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR",
            "address_2": "SUITE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814826",
            "telephone_number": "623-933-1010",
            "fax_number": "623-933-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHERA",
        "first_name": "PERMINDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401927",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.