Active NPI
Bhavani K Pinnamaneni, M.D.
- Pediatrics Physician
- Tempe, AZ
National Provider Identifier
1619971306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14172
- Practice address
- 1847 E Southern Ave
Ste 1
Tempe, AZ 85282-5881 - Phone
- (480) 838-2277
- Fax
- (480) 838-3887
- NPI assigned
- Jun 9, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14172 | AZ | Primary |
Addresses
Primary practice location
1847 E Southern Ave
Ste 1
Tempe, AZ 85282-5881
Mailing address
1847 E Southern Ave
Ste 1
Tempe, AZ 85282-5881
Phone (480) 838-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14172 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619971306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 E SOUTHERN AVE",
"address_2": "STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825881",
"telephone_number": "480-838-2277",
"fax_number": "480-838-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 E SOUTHERN AVE",
"address_2": "STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825881",
"telephone_number": "480-838-2277",
"fax_number": "480-838-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNAMANENI",
"first_name": "BHAVANI",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "14172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.