Individual provider Active NPI

Rajendra Chalasani, MD

  • Nephrology Physician
  • Goodyear, AZ
National Provider Identifier
1437349677
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
37253 Issued in AZ
Practice address
13657 W McDowell Rd
Suite 210
Goodyear, AZ 85395
Phone
(623) 536-1185
Fax
(623) 536-1091
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37253 AZ
Hypertension Specialist Physician 207RH0005X 65347 GA
Nephrology Physician 207RN0300X 65347 GA
Nephrology Physician 207RN0300X 37253 AZ Primary

Addresses

Primary practice location

13657 W McDowell Rd
Suite 210
Goodyear, AZ 85395

Mailing address

6622 N 91St Ave Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
241625MedicaidAZ

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
I20070912000476 AZ Practitioner - NephrologyPractitioner - Internal Medicine 6901999549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

13657 W McDowell Rd
Suite 210
Goodyear, AZ 85395-2603
Phone (623) 536-1185

3320 N 2ND St
Phoenix, AZ 85012-2319
Phone (602) 200-8288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37253AZMDInternal Medicine Physician
65347GAMDHypertension Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince Jul 1, 2013 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jul 1, 2013 Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Wrightsboro Inpatient Services Internal Medicine Past Accepting new patients
Akdhc,LLC Nephrology Past Accepting new patients

Locations (25 of 74)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

2580 Highway 95
Ste 224
Bullhead City, AZ 86442
Phone (928) 704-7011

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

1739 E Beverly Ave
Ste 216
Kingman, AZ 86409
Phone (928) 681-2772

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897

Interoperability endpoints

  • Direct secure messaging: rajendra.chalasani.1@11625.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1437349677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD",
            "address_2": "SUITE 210",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-536-1185",
            "fax_number": "623-536-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALASANI",
        "first_name": "RAJENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37253",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "GA",
            "license": "65347",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "65347",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "37253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241625",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.