Individual provider Active NPI

Hemadevi Chenthilmurugan

  • Anesthesiology Physician
  • Gilbert, AZ
National Provider Identifier
1497058648
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
49314 Issued in AZ
Practice address
4001 E Baseline Rd Ste 205
Gilbert, AZ 85234-2743
Phone
(480) 967-6888
Fax
(480) 967-6887
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 259105 NY
Anesthesiology Physician 207L00000X 49314 AZ Primary

Addresses

Primary practice location

4001 E Baseline Rd Ste 205
Gilbert, AZ 85234-2743

Mailing address

4001 E Baseline Rd Ste 205
Gilbert, AZ 85234-2743
Phone (480) 967-6888

Other practice location 1

4550 E Bell Rd Bldg 8
#280
Phoenix, AZ 85032-9393
Phone (623) 882-1292

Other identifiers 2

IdentifierTypeStateIssuer
035241MedicaidAZ
259105OtherNYNY STATE LICENSE

Other names 1

  • Dr. Hemadevi Sadasivam 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
I20150806011476 AZ Practitioner - Interventional Pain Management 3173749199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians

Practice addresses (Care Compare)

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259105NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George Wang,MD,LLC CurrentSince Feb 1, 2019 Accepting new patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince Aug 27, 2020 Accepting new patients
George Wang,MD,LLC CurrentSince Feb 1, 2019 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Advanced Pain & Spine Institute of Naples PA PastSince Aug 18, 2024 Accepting new patients

Locations

4001 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 926-6200

4001 E Baseline Rd
Ste 205
Gilbert, AZ 85234
Phone (480) 962-7510

2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

2919 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (480) 357-5780

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

1111 E McDowell Rd
Ste B
Phoenix, AZ 85006
Phone (602) 346-0350

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": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1497058648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342743",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342743",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 E Bell Rd Bldg 8",
            "address_2": "#280",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850329393",
            "country_code": "US",
            "telephone_number": "623-882-1292",
            "fax_number": "623-882-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENTHILMURUGAN",
        "first_name": "HEMADEVI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "259105",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "49314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035241",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "259105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEMADEVI",
            "last_name": "SADASIVAM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.