Organization Active NPI

Pattabi Kalyanam MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
National Provider Identifier
1417055708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
27627 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.