Active NPI
Marappa Gownder Nalle, MD
- Hospitalist Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 62042
- Practice address
- 1400 S Dobson Road
Attn BMG Hospitalist Team/Amanda Gump
Mesa, AZ 85202 - Phone
- (480) 412-6788
- Fax
- (480) 412-6848
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 62042 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT197921 | PA | |
| Hospitalist Physician | 208M00000X | 62042 | AZ | Primary |
Addresses
Primary practice location
1400 S Dobson Road
Attn BMG Hospitalist Team/Amanda Gump
Mesa, AZ 85202
Mailing address
1400 S Dobson Road
Attn BMG Hospitalist Team/Amanda Gump
Mesa, AZ 85202
Phone (480) 412-6788
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000
Hospital & facility affiliations
- Banner Desert Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 64.97
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT197921 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Desert Medical Center | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
7216 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 948-1310
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1578877064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S DOBSON ROAD",
"address_2": "ATTN BMG HOSPITALIST TEAM/AMANDA GUMP",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-412-6788",
"fax_number": "480-412-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S DOBSON ROAD",
"address_2": "ATTN BMG HOSPITALIST TEAM/AMANDA GUMP",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-412-6788",
"fax_number": "480-412-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLE",
"first_name": "MARAPPA",
"middle_name": "GOWNDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "62042",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT197921",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "62042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.