Individual provider Active NPI

Chet Singh Monder, MD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1427015346
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19411 Issued in AZ
Practice address
15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone
(602) 439-9000
Fax
(602) 978-5233
NPI assigned
Apr 26, 2006
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19411 AZ Primary

Addresses

Primary practice location

15640 N 28TH Dr
Phoenix, AZ 85053-4059

Mailing address

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9000

Other identifiers 3

IdentifierTypeStateIssuer
AZ0389140OtherAZBLUE CROSS
110032732OtherAZRAILROAD MEDICARE
P00617075OtherAZRAILROAD

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
I20080314000528 AZ Practitioner - Endocrinology 2769388263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Endocrinology Center PLCGroup PAC ID 0749365781, 10 clinicians

Practice addresses (Care Compare)

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9623

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19411AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Endocrinology Center, PLC Specialist CurrentSince Jan 5, 1998 Accepting new patients
Arizona Endocrinology Center, PLC Current Accepting new patients
Arizona Endocrinology Center, PLC CurrentSince Jan 1, 2008 Accepting new patients

Locations

3530 S Val Vista Dr
Ste C202
Gilbert, AZ 85297
Phone (480) 240-8815

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

5130 W Thunderbird Rd
Ste 1
Glendale, AZ 85306
Phone (602) 439-9000

15640 N 28th Dr
Phoenix, AZ 85053
Phone (602) 439-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHHBBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1427015346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDER",
        "first_name": "CHET",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "19411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0389140",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110032732",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00617075",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.