NPIMap

Organization Active NPI

Valley Internal Medicine Associates, PLLC

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1508014648
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24392 Issued in AZ
Legal business name
VALLEY INTERNAL MEDICINE ASSOCIATES, PLLC
Practice address
13634 N 93Rd Ave
Ste 200
Peoria, AZ 85381
Phone
(623) 298-1744
Fax
(623) 298-1738
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Nagaraju Veeramachaneni, M.D.
Title
Owner
Phone
(623) 298-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 24392 AZ Primary

Addresses

Primary practice location

13634 N 93Rd Ave
Ste 200
Peoria, AZ 85381

Mailing address

13634 N 93Rd Avenue
200
Peoria, AZ 85381
Phone (623) 298-1744

Other identifiers 1

IdentifierTypeStateIssuer
360909MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1508014648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVENUE",
            "address_2": "200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-298-1744",
            "fax_number": "623-298-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-298-1744",
            "fax_number": "623-298-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTERNAL MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "VEERAMACHANENI",
        "authorized_official_first_name": "NAGARAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-298-1744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360909",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.