Madhavi R Pesari, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29667 Issued in AZ

Practice address

55 S 63Rd St
Suite 6
Mesa, AZ 85206-1605

Phone

(480) 981-9234

Fax

(480) 981-3038

NPI assigned

Jan 13, 2006

Last updated

Oct 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Thema Health Services Home health agency, Phoenix, AZ, CCN 037202
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advent Internal Medicine PLLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1235579061
  Medicare reassignment NPD Authorized official
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Acclaimed Internal Medicine PLLC

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

  • Hospitalist Physician
  • Gilbert, AZ
  • NPI 1548569403
  NPD (past)
• Louis George Greco MD PC

  dba Greco Medical PC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1841209186
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Home Health Resources, LLC

  dba THEMA Health Services

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1477547123
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1528047891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20610",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770610",
            "telephone_number": "480-981-9234",
            "fax_number": "480-981-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 63RD ST",
            "address_2": "SUITE 6",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061605",
            "telephone_number": "480-981-9234",
            "fax_number": "480-981-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESARI",
        "first_name": "MADHAVI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6100734",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Perry, D.D.S., MPA, MAED
• Mollyann L. Perry, FNP
• Personal Injury Care of Arizona LLC
• Carol C Peru
• Stephanie Perz, SLP-A
• Ashley Sue Nichole Peshek
• Adelar Pesqueira
• Ronald C Petcher, M.D.
• Pete S Coury MD PLLC
• Becky Jean Peters, MA CCC-SLP

• 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 Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.