East Valley Infectious Disease Medicine LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

EAST VALLEY INFECTIOUS DISEASE MEDICINE LLC

Practice address

6040 E Main St # 516
Mesa, AZ 85205-8928

Phone

(480) 648-7895

Fax

(623) 552-3320

NPI assigned

Sep 12, 2023

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shashikala Ameneni, MDNPI 1346229895

Title

Authorized Signer

Phone

(480) 648-7895

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shashikala Ameneni, M.D.

  • Infectious Disease Physician
  • Mesa, AZ
  • NPI 1346229895
  Medicare reassignment Care Compare group NPD Authorized official
• Hardeep S Grewal, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1669432118
  Medicare reassignment Care Compare group NPD
• Adonis Jabbour, M.D.

  • Infectious Disease Physician
  • Mesa, AZ
  • NPI 1356463160
  Medicare reassignment Care Compare group NPD
• Aparajita Singh, M.D.

  • Infectious Disease Physician
  • Mesa, AZ
  • NPI 1215020052
  Medicare reassignment Care Compare group NPD
• Joseph K Zachariah, DO

  • Infectious Disease Physician
  • Mesa, AZ
  • NPI 1649293895
  Medicare reassignment Care Compare group NPD
• Sunitha Suresh, MD

  • Infectious Disease Physician
  • Lakeland, FL
  • NPI 1780962431

  AZ

  Medicare reassignment Care Compare group NPD
• Tanya Gastelo

  • Contractor
  • Queen Creek, AZ
  • NPI 1811358542
  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1508643628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVIDM LOCKBOX DEPT 880778",
            "address_2": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "480-648-7895",
            "fax_number": "623-552-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST # 516",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "480-648-7895",
            "fax_number": "623-552-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY INFECTIOUS DISEASE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "AMENENI",
        "authorized_official_first_name": "SHASHIKALA",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "480-648-7895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Glaucoma Inc
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• East Valley Implant & Periodontal Center
• East Valley Implant and Periodontal PLLC
• East Valley Integrated Hospitalist PLLC
• East Valley Kidney Center, Inc.
• East Valley Kidney Specialist PLLC Health Care
• East Valley Medical Group, Inc.
• East Valley Medical Group, LLC

• Infectious Disease Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.