Arvind Durvasan
Individual provider Active NPI Nephrology Physician · Mesa, AZ
NPI 1417038548 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1417038548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 35823 (AZ)
- Practice address
- 612 W Baseline Rd
Mesa, AZ 85210-6041 - Phone
- (808) 349-0394
- Fax
- (480) 964-7802
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 48
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Deaconess Medical Group Inc
Desert Kidney Associates PLC
Practice addresses (Care Compare)
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 824-6655
2394 N Alma School Rd
Suite 1
Chandler, AZ 85224-2459
Phone (480) 963-0700
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039
Hospital & facility affiliations
- Banner Baywood Medical Center
- Banner Desert Medical Center
- Banner - University Medical Center Phoenix
- Banner Heart Hospital
- Banner Casa Grande Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (9 enrollments) in AZ, IL, TX, MN, IN, MS, CO, KY, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061127000244 | AZ | Practitioner - Nephrology |
9436157559 | Reassigns benefits to 8 organizations |
| I20220712002475 | IL | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 2 organizations |
| I20230113000062 | TX | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 2 organizations |
| I20240509002789 | MN | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 1 organization |
| I20241209003136 | IN | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 1 organization |
| I20250317003209 | MS | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 1 organization |
| I20251006001235 | CO | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 1 organization |
| I20260302003081 | KY | Practitioner - Nephrology | 9436157559 | Reassigns benefits to 1 organization |
| I20260430003744 | LA | Practitioner - Internal Medicine | 9436157559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35823 | AZ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolling Plains Memorial Hospital | Nephrology | Current |
Accepting new patients |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Winslow Memorial Hospital Inc | Current |
Accepting new patients | |
| Desert Kidney Associates PLC | Nephrology | Current |
Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current |
Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current |
Accepting new patients | |
| Copiah County Medical Center | Current |
Accepting new patients | |
| Copiah County Medical Center | Current |
Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Hospitalist | Current |
Accepting new patients |
| Gila River Health Care | Current |
Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Evac LLC | Nephrology | Current |
Accepting new patients |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current |
Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Winslow Memorial Hospital Inc | Current |
Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Nephrology Associates of Northern Illinois, LTD. | Nephrology | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Rolling Plains Memorial Hospital | Current |
Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current |
Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Current |
Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Internal Medicine | Current |
Accepting new patients |
| East Valley Ambulatory Surgical Center, LLC | Current |
Accepting new patients | |
| Rolling Plains Memorial Hospital | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| Bio-Medical Applications of Arizona, LLC | Past | Accepting new patients | |
| Renal Dimensions, LLC | Past | Accepting new patients |
Locations (25 of 28)
2394 N Alma School Rd
Ste 1
Chandler, AZ 85224
Phone (480) 963-0700
2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607
5200 E Cortland Blvd
Ste A4
Flagstaff, AZ 86004
Phone (928) 527-4990
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170
4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303
3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700
22715 S Ellsworth Rd
Bldg G
San Tan Valley, AZ 85142
Phone (480) 677-2463
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
2022 E Prince Rd
Tucson, AZ 85719
Phone (520) 327-0007
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
1830 Blake Ave
Ste 101
Glenwood Springs, CO 81601
Phone (970) 384-7144
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247
3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884
800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
721 W 13th St
Jasper, IN 47546
Phone (812) 482-4494
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
Interoperability endpoints
- adurvasan1075670@direct.deaconess.com
- adurvasan125827@direct.luhs.org
- arvind.durvasan.p150@direct.lifelinevascular.nextgenshare.com
- adurvasan41163@direct.acumenmd.com
- arvind.durvasan.p154@direct.lifelinevascular.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35823 | AZ | |
| Hospitalist Physician | 208M00000X | 35823 | AZ | |
| Nephrology Physician | 207RN0300X | 35823 | AZ | Yes |
Addresses
Primary practice location
612 W Baseline Rd
Mesa, AZ 85210-6041
Mailing address
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159799 | Medicaid | AZ |
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.