Individual provider Active NPI

Radhika Janga, MD

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1508826413
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34298 Issued in AZ
Practice address
4135 S Power Rd
Ste 120
Mesa, AZ 85212-3624
Phone
(480) 813-6699
Fax
(480) 813-6697
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34298 AZ Primary

Addresses

Primary practice location

4135 S Power Rd
Ste 120
Mesa, AZ 85212-3624

Mailing address

4135 S Power Rd
Ste 120
Mesa, AZ 85212-3624
Phone (480) 813-6699

Other identifiers 1

IdentifierTypeStateIssuer
890302MedicaidAZ

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
I20160311001411 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1456371608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34298AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prodigee Inpatient Physicians Group, P.L.L.C. Past Accepting new patients
Acclaimed Internal Medicine PLLC Past Accepting new patients
Gregg Smith D.O., P.C. Past Accepting new patients

Organizations & group practices 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1508826413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD",
            "address_2": "STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123624",
            "telephone_number": "480-813-6699",
            "fax_number": "480-813-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD",
            "address_2": "STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123624",
            "telephone_number": "480-813-6699",
            "fax_number": "480-813-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGA",
        "first_name": "RADHIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.