Individual provider Active NPI

Rupa Krishna Low, MD, MPH

  • Family Medicine Physician
  • Avondale, AZ
National Provider Identifier
1487915294
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51258 Issued in AZ
Practice address
1719 N Dysart Rd
Avondale, AZ 85392-1213
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0074539 CO
Family Medicine Physician 207Q00000X 51258 AZ Primary

Addresses

Primary practice location

1719 N Dysart Rd
Avondale, AZ 85392-1213

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

2201 E Camelback Rd Ste 101A
Phoenix, AZ 85016-3495
Phone (888) 663-6331

Other practice location 2

3202 E Greenway Rd
Phoenix, AZ 85032-4548
Phone (602) 325-5577

Other identifiers 3

IdentifierTypeStateIssuer
355307501MedicaidTX
355307502MedicaidTX
355307503MedicaidTX

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
I20180815001605 AZ Practitioner - Family Practice 6002112752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLC 117 clinicians

Practice addresses (Care Compare)

5110 E Southern Ave
Suite 107
Mesa, AZ 85206-2790
Phone (888) 405-6396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51258AZMDFamily Medicine Physician
DR.0074539COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omg Arizona, LLC Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Iora Senior Health, LLC CurrentSince Jul 30, 2018 Accepting new patients
Iora Senior Health, LLC CurrentSince Jul 30, 2018 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

1719 N Dysart Rd
Avondale, AZ 85392
Phone (623) 232-3322

1760 E Pecos Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 690-8412

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

5110 E Southern Ave
Ste 107
Mesa, AZ 85206
Phone (480) 295-8072

9124 E Main St
Ste 20
Mesa, AZ 85207
Phone (480) 295-8070

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075

10001 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (232) 264-2446

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

101 Tremont St
Fl 6
Boston, MA 02108

Organizations & group practices 10

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1487915294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921213",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 E Camelback Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163495",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3202 E Greenway Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850324548",
            "country_code": "US",
            "telephone_number": "602-325-5577",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOW",
        "first_name": "RUPA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0074539",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "51258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355307501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355307502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355307503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.