Organization Active NPI

Madhuri Segireddy MD PC

  • Infectious Disease Physician
  • Chandler, AZ
National Provider Identifier
1487972279
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
MADHURI SEGIREDDY MD PC
Practice address
485 S Dobson Rd
Suite 105
Chandler, AZ 85224-5602
Phone
(480) 855-0421
Fax
(480) 855-0467
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Madhuri Segireddy, M.D.NPI 1285839795
Title
President
Phone
(480) 202-6660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

485 S Dobson Rd
Suite 105
Chandler, AZ 85224-5602

Mailing address

4022 E Presidio St
Mesa, AZ 85215-1113
Phone (480) 985-1093

Other identifiers 1

IdentifierTypeStateIssuer
438501MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000019 AZ Part B Supplier - Clinic/Group Practice 5799817607 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ; Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

3505S Val Vis Dr
Gilbert, AZ 85297
Phone (480) 728-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1487972279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151113",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD",
            "address_2": "SUITE 105",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245602",
            "telephone_number": "480-855-0421",
            "fax_number": "480-855-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHURI SEGIREDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SEGIREDDY",
        "authorized_official_first_name": "MADHURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-202-6660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.