Individual provider Active NPI

Vivek Reddy Kesara, M.D.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1548420334
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43262 Issued in AZ
Practice address
1435 S Alma School Road
Chandler, AZ 85286
Phone
(480) 668-1600
NPI assigned
Jun 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43262 AZ Primary

Addresses

Primary practice location

1435 S Alma School Road
Chandler, AZ 85286

Mailing address

1435 S Alma School Road
Chandler, AZ 85286
Phone (480) 668-1600

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
I20101008000895 AZ Practitioner - Family Practice 5890832646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aligned Medical Providers LLCGroup PAC ID 9234553116, 14 clinicians

Practice addresses (Care Compare)

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 448-7500

Hospital & facility affiliations

  • Sweetheart Healthcare LLC Home health agency, Chandler, AZ, CCN 037813

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Aligned Medical Providers, LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Premier Medical Group, LLC Family Medicine Past Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

4410 W Union Hills Dr
Ste 7
Glendale, AZ 85308
Phone (203) 632-6595

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

12740 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (480) 581-3600

3247 E Bell Rd
Phoenix, AZ 85032
Phone (602) 255-7655

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

7575 E Earll Dr
Bldg 500
Scottsdale, AZ 85251
Phone (480) 941-7500

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1548420334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S ALMA SCHOOL ROAD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85286",
            "telephone_number": "480-668-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S ALMA SCHOOL ROAD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85286",
            "telephone_number": "480-668-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESARA",
        "first_name": "VIVEK",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-15",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.