Individual provider Active NPI

Sunildat D Maheshwari, M.D.

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1417153164
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43365 Issued in AZ
Practice address
652 E Warner Rd
Suite 107
Gilbert, AZ 85296-3071
Phone
(480) 539-8680
Fax
(480) 539-1763
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43365 AZ Primary

Addresses

Primary practice location

652 E Warner Rd
Suite 107
Gilbert, AZ 85296-3071

Mailing address

652 E Warner Rd
Suite # 107
Gilbert, AZ 85296-3071
Phone (480) 539-8680

Other identifiers 1

IdentifierTypeStateIssuer
Z141330OtherAZPTAN

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
I20101203000023 AZ Practitioner - Family Practice 9537356563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Medical Group LLCGroup PAC ID 1153693379, 7 clinicians

Practice addresses (Care Compare)

652 E Warner Rd
Suite 107
Gilbert, AZ 85296-3073
Phone 4805398680123

Hospital & facility affiliations

  • Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Sunrise Health Services Home health agency, Mesa, AZ, CCN 037226
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group, LLC Family Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

652 E Warner Rd
Ste 107
Gilbert, AZ 85296
Phone (480) 539-8680

Interoperability endpoints

  • Direct secure messaging: sunildat.maheshwari.p1@direct.primemedicalgroup.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1417153164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E WARNER RD",
            "address_2": "SUITE # 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963071",
            "telephone_number": "480-539-8680",
            "fax_number": "480-539-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E WARNER RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963071",
            "telephone_number": "480-539-8680",
            "fax_number": "480-539-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHESHWARI",
        "first_name": "SUNILDAT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z141330",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.