Individual provider Active NPI

Swati Kolpuru, MD

  • Pediatric Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1487789848
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
D0061425 Issued in MD
Practice address
1432 S Dobson Rd
Suite 402
Mesa, AZ 85202-4768
Phone
(480) 412-5550
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X D0061425 MD Primary

Addresses

Primary practice location

1432 S Dobson Rd
Suite 402
Mesa, AZ 85202-4768

Mailing address

1432 S Dobson Rd Ste 402
Mesa, AZ 85202-4777
Phone (480) 412-5550

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
I20071126000609 AZ Practitioner - Pediatric MedicinePractitioner - Gastroenterology 0042255507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061425MDMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Apr 5, 2018 Accepting new patients
Banner-University Medical Group CurrentSince Dec 28, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Dec 28, 2021 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Apr 5, 2018 Accepting new patients
Banner-University Medical Group Pediatrics Current Accepting new patients

Locations

5757 W Thunderbird Rd
Ste W406
Glendale, AZ 85306
Phone (480) 464-9400

5757 W Thunderbird Rd
Ste W310
Glendale, AZ 85306
Phone (602) 393-2450

5757 W Thunderbird Rd
Ste E250
Glendale, AZ 85306
Phone (602) 865-4470

1432 S Dobson Rd
Ste 509
Mesa, AZ 85202
Phone (480) 412-6970

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 402
Mesa, AZ 85202
Phone (480) 391-8989

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

9755 N 90th St
Ste C200
Scottsdale, AZ 85258
Phone (480) 391-8989

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1487789848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 402",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024777",
            "telephone_number": "480-412-5550",
            "fax_number": "490-412-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "SUITE 402",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-412-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLPURU",
        "first_name": "SWATI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MD",
            "license": "D0061425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.