Individual provider Active NPI

Priya Trivedi

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1619601952
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10037 Issued in AZ
Practice address
2181 E Pecos Rd Ste 1
Chandler, AZ 85225-6140
Phone
(480) 219-6000
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10037 AZ Primary

Addresses

Primary practice location

2181 E Pecos Rd Ste 1
Chandler, AZ 85225-6140

Mailing address

2181 E Pecos Rd Ste 1
Chandler, AZ 85225-6140

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
I20240329000633 AZ Practitioner - Physician Assistant 6204274020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Mesa, AZ 85209-3322

10510 N 92ND St
Scottsdale, AZ 85258-4566

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10037AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Oct 14, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 14, 2024 Accepting new patients
Physician Group of Arizona Inc CurrentSince Mar 15, 2024 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

2181 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 398-3638

1537 S Higley Rd
Gilbert, AZ 85296
Phone (480) 257-2698

10238 E Hampton Ave
Ste 301B
Mesa, AZ 85209
Phone (480) 257-2699

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: ptrivedi536000@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1619601952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256140",
            "telephone_number": "480-219-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "PRIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.