Kamakshi K Mukkavilli, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29911 Issued in AZ

Practice address

7227 E Baseline Rd Ste 126
Mesa, AZ 85209-5006

Phone

(480) 868-9650

Fax

(480) 834-3606

NPI assigned

Mar 23, 2007

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kay Mukkavilli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acclaimed Internal Medicine PLLC

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1609823129
  NPD (past)
• Adam Internal Medicine PLLC

  • Hospitalist Physician
  • Gilbert, AZ
  • NPI 1548569403
  NPD (past)
• KK Mukkavilli PLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1033474119
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1508983644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095006",
            "telephone_number": "480-868-9650",
            "fax_number": "480-834-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095006",
            "telephone_number": "480-868-9650",
            "fax_number": "480-834-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKKAVILLI",
        "first_name": "KAMAKSHI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134144",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29911",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME134144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "MUKKAVILLI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asia Muhammad, N.D.
• Ruquiayah Muhammad
• Amanda Joy Muir, PHARMD
• Jamie Muirbrook, NP
• Patti Mukai
• Christina Mulhall, OTR-L
• Haley Mulherin, M.S. CF- SLP
• Alyssa Mull, PA
• Catherine Sue Mull, RN
• Guy Mull Jr.

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.