Sriharsha Vajjala, MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

52075 Issued in AZ

Practice address

8330 E Hartford Dr
Ste 100
Scottsdale, AZ 85255

Phone

(480) 745-3547

Fax

(480) 745-3548

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, HI2 enrollments

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 2

Specialty

Internal MedicineAlso: Sleep Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Insomnia and Sleep Institute of Arizona LLCGroup PAC ID 3476707837, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DADHAA
• Direct secure messaging: sriharsha.vajjala.1@22601.direct.athenahealth.com

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.

• The Insomnia and Sleep Institute of Arizona LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1659633469
  Medicare reassignment Care Compare group
• Hawaii Pacific Neuroscience LLC

  • Neurology Physician
  • Honolulu, HI
  • NPI 1043442908
  Medicare reassignment NPD
• Marana Health Center, Inc

  • Clinic Pharmacy
  • Tucson, AZ
  • NPI 1073072450
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1417202201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 E HARTFORD DR",
            "address_2": "STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557205",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 E HARTFORD DR",
            "address_2": "STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 E Williams Field Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951825",
            "country_code": "US",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAJJALA",
        "first_name": "SRIHARSHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52075",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "52075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Vaccaro, PHARMD, RPH
• Eric C Vacco, PAC
• Mona Vahidi Rad, MD
• Ilyas Vahora, M.D.
• Pauline Vaivao, LPN
• Vimala Sravanthi Vajjala, MD
• Paul Raymund Valbuena, MD
• Kristen Valderhaug, MD
• Robert Valdes, PTA
• Beth Gaelene Valdez, LPC

• Sleep Medicine (Internal Medicine) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Sleep Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.