Active NPI
Pradeep Mehra, M.D.
- Nephrology Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35093
- Practice address
- 2141 E. Warner Road
Suite 101
Tempe, AZ 85284 - Phone
- (480) 969-8714
- Fax
- (480) 464-0189
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35093 | AZ | Primary |
Addresses
Primary practice location
2141 E. Warner Road
Suite 101
Tempe, AZ 85284
Mailing address
2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3494
Phone (480) 610-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109749 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061101000090 | AZ | Practitioner - Nephrology | 0244237436 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Kidney Institute PLC
Practice addresses (Care Compare)
36889 N Tom Darlington Dr
Suite A4
Carefree, AZ 85377-4605
Phone (480) 610-6100
Hospital & facility affiliations
- DaVita Central Mesa Dialysis Center
- Banner Desert Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35093 | AZ | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Kidney Institute Vascular Center LLC | Nephrology | Current | Accepting new patients |
| Southwest Kidney Institute Scottsdale LLC | Nephrology | Current | Accepting new patients |
Locations
16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131
1501 N Gilbert Rd
Ste 207
Gilbert, AZ 85234
Phone (480) 389-1061
337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081
2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541
9746 N 90th Pl
Ste 205
Scottsdale, AZ 85258
Phone (480) 610-6152
10440 E Riggs Rd
Ste 180
Sun Lakes, AZ 85248
Phone (480) 802-2424
2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111
2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808
2141 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 969-8714
Interoperability endpoints
- gehpmehra@yourcarecommunity.org
- pradeep.mehra.1@2697.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Nephrology Physician
- Phoenix, AZ
- NPI 1902231012
AZ, Nephrology
-
- Nephrology Physician
- Tempe, AZ
- NPI 1134426893
Nephrology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mesa, AZ
- NPI 1700059227
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1447299474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 E WARNER RD",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843494",
"telephone_number": "480-610-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 E. WARNER ROAD",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85284",
"telephone_number": "480-969-8714",
"fax_number": "480-464-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRA",
"first_name": "PRADEEP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "35093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109749",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.