Active NPI
Narendra Prasad Myneni, M.D
- Vascular Surgery Physician
- Mesa, AZ
National Provider Identifier
1437124732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 12555
- Practice address
- 1450 S Dobson Rd
Suite A307
Mesa, AZ 85202-4712 - Phone
- (480) 461-1334
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 12555 | AZ | Primary |
Addresses
Primary practice location
1450 S Dobson Rd
Suite A307
Mesa, AZ 85202-4712
Mailing address
3530 E Grandview St
Mesa, AZ 85213-3228
Phone (602) 625-4178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1255 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437124732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 E GRANDVIEW ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852133228",
"telephone_number": "602-625-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S DOBSON RD",
"address_2": "SUITE A307",
"city": "MESA",
"state": "AZ",
"postal_code": "852024712",
"telephone_number": "480-461-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYNENI",
"first_name": "NARENDRA",
"middle_name": "PRASAD",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "12555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.