Individual provider Active NPI

Lokeswari Bucchireddigari

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1538575253
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5312 Issued in AZ
Practice address
641 W Warner Rd
Gilbert, AZ 85233
Phone
(480) 722-9828
Fax
(480) 722-9831
NPI assigned
Jul 2, 2014
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5312 AZ Primary

Addresses

Primary practice location

641 W Warner Rd
Gilbert, AZ 85233

Mailing address

6401 E Thomas Rd Ste 103
Scottsdale, AZ 85251-6078
Phone (480) 941-4400

Other practice location 1

641 W Warner Rd
Gilbert, AZ 85233-7266
Phone (480) 722-9828

Other identifiers 1

IdentifierTypeStateIssuer
977793MedicaidAZ

Other names 1

  • Lokeswari Nagaraju Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140929000203 AZ Practitioner - Nurse Practitioner 1355561291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

16716 E Palisades Blvd
Suite 103
Fountain Hills, AZ 85268-3846
Phone (855) 485-4673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5312AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Summit Medical Group Arizona LLC CurrentSince May 3, 2021 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Nov 14, 2022 Accepting new patients
East Valley Endocrinology, Diabetes & Metabolism, PC CurrentSince Jan 5, 2015 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Nov 14, 2022 Accepting new patients
Banner Urgent Care Services, LLC Past Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

16716 E Palisades Blvd
Ste 103
Fountain Hills, AZ 85268
Phone (480) 587-6550

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

15450 N Tatum Blvd
Phoenix, AZ 85032
Phone (602) 996-2531

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

19636 N 27th Ave
Ste 308
Phoenix, AZ 85027
Phone (623) 780-1999

20330 N Cave Creek Rd
Ste 160
Phoenix, AZ 85024
Phone (602) 730-8443

9500 E Ironwood Square Dr
Ste 201
Scottsdale, AZ 85258
Phone (480) 323-4800

Dept 3472
Los Angeles, CA 90084

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBHBA
  • Direct secure messaging: lbucchireddigari492923@direct.honorhealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1538575253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 E THOMAS RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516078",
            "telephone_number": "480-941-4400",
            "fax_number": "480-948-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-722-9828",
            "fax_number": "480-722-9831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 W Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852337266",
            "country_code": "US",
            "telephone_number": "480-722-9828",
            "fax_number": "480-722-9831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCCHIREDDIGARI",
        "first_name": "LOKESWARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "977793",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOKESWARI",
            "last_name": "NAGARAJU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.