Active NPI
Pattabi Kalyanam MD PC
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
National Provider Identifier
1417055708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 27627
- Legal business name
- PATTABI KALYANAM MD PC
- Practice address
- 5425 E Bell Rd
Suite 115 BLDG 3
Scottsdale, AZ 85254-6007 - Phone
- (623) 915-0270
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pattabi Kalyanam, M.D.
- Title
- President
- Phone
- (623) 915-0270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 27627 | AZ | Primary |
Addresses
Primary practice location
5425 E Bell Rd
Suite 115 BLDG 3
Scottsdale, AZ 85254-6007
Mailing address
5425 E Bell Rd
Suite 115 BLDG 3
Scottsdale, AZ 85254-6007
Phone (623) 915-0270
National Provider Directory
National Provider DirectoryLocations
3031 W Northern Ave
Ste 103
Phoenix, AZ 85051
Phone (502) 395-0718
6036 N 19th Ave
Ste 501
Phoenix, AZ 85015
Phone (480) 991-3005
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Mesa, AZ
- NPI 1265663736
-
- Adult Health Nurse Practitioner
- Phoenix, AZ
- NPI 1619138237
-
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1730266289
-
- Family Nurse Practitioner
- San Francisco, CA
- NPI 1316098932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417055708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 E BELL RD",
"address_2": "SUITE 115 BLDG 3",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546007",
"telephone_number": "623-915-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 E BELL RD",
"address_2": "SUITE 115 BLDG 3",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546007",
"telephone_number": "623-915-0270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATTABI KALYANAM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KALYANAM",
"authorized_official_first_name": "PATTABI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-915-0270",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "27627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.