Individual provider Active NPI

Sirish Rao

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1427464130
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
62655 Issued in AZ
Practice address
5111 N Scottsdale Rd Ste 151
Scottsdale, AZ 85250-7004
Phone
(602) 254-6686
Fax
(602) 254-4258
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 62655 AZ Primary

Addresses

Primary practice location

5111 N Scottsdale Rd Ste 151
Scottsdale, AZ 85250-7004

Mailing address

645 E Missouri Ave Ste 280
Phoenix, AZ 85012-1349
Phone (602) 264-9100

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
I20210824001478 AZ Practitioner - Internal Medicine 9436473675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

5111 N Scottsdale Rd
Suite 151
Scottsdale, AZ 85250-7004
Phone (602) 254-6686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8317NEMDClinical Social Worker
62655AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC Single Specialty CurrentSince Aug 23, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 13, 2021 Accepting new patients
Honorhealth Ambulatory Single Specialty Current Accepting new patients
Honorhealth Ambulatory Single Specialty CurrentSince Sep 13, 2021 Accepting new patients
Honorhealth Ambulatory Single Specialty PastSince Aug 23, 2023 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010

9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

645 E Missouri Ave
Ste 280
Phoenix, AZ 85012
Phone (602) 264-9100

5111 N Scottsdale Rd
Ste 151
Scottsdale, AZ 85250
Phone (602) 254-6686

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 5

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 2

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1427464130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121349",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 151",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507004",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SIRISH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "62655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.