Purna Chettri, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41585 Issued in AZ

Practice address

6320B W Union Hills Dr
Ste B2300
Glendale, AZ 85308-7201

Phone

(623) 561-9113

Fax

(623) 561-6148

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scottsdale Healthcare Home Health Home health agency, Scottsdale, AZ, CCN 037024
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pchettri8242@direct.honorhealth.com

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.

• Honorhealth Medical Group, LLC

  • Primary Care Clinic/Center
  • Peoria, AZ
  • NPI 1043851793
  Medicare reassignment Care Compare group NPD
• 1St Care Medical Clinic

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1407805088
  Medicare reassignment NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614

  Family Medicine

  Medicare reassignment NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1043666910
  NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700423415
  NPD
• Honorhealth Ambulatory

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Scottsdale, AZ
  • NPI 1053881938
  NPD (past)
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1679876601
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation
• Honorhealth

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1972562460
  Care Compare affiliation

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1487815221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "602-214-6148",
            "fax_number": "602-214-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320B W UNION HILLS DR",
            "address_2": "STE B2300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087201",
            "telephone_number": "623-561-9113",
            "fax_number": "623-561-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETTRI",
        "first_name": "PURNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YOUR FAMILY PHYSICIAN",
            "identifier": "1174514756",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "Z22506",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Cherepinsky
• Cherished Moments Home Care Services LLC
• Rajalakshmi Cheruvu, MD
• Cheryl Marie Salmon
• Erica Chestnut, MC, LISAC
• Alishea Cheves, LPN
• Ruchi Chhabra, M.D.
• Laura Elizabeth Chiccarello, FNP-C
• Learnmore Chiguma, M.D.
• Amber Childers, MD

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.

Verify at the official NPI Registry.