Individual provider Active NPI

Sridivya I Ramineni, M.D.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1467681759
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094375 Issued in MI
Practice address
1717 W Chandler Blvd
Chandler, AZ 85224
Phone
(480) 821-7565
Fax
(480) 821-4303
NPI assigned
Jul 7, 2009
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094375 MI Primary

Addresses

Primary practice location

1717 W Chandler Blvd
Chandler, AZ 85224

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (623) 277-1000

Other names 1

  • Sridivya I Veeravalli Former name

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
I20121127000636 AZ Practitioner - Family Practice 2860643749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1920 E Baseline Rd
Tempe, AZ 85283-1511
Phone (800) 233-3264

6220 W Bell Rd
Glendale, AZ 85308-3896

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094375MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

Interoperability endpoints

  • Direct secure messaging: sramineni10278@evernorth.direct-ci.com

Organizations & group practices 7

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1467681759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-277-1000",
            "fax_number": "866-837-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-821-7565",
            "fax_number": "480-821-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMINENI",
        "first_name": "SRIDIVYA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIDIVYA",
            "last_name": "VEERAVALLI",
            "middle_name": "I",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.