Organization Active NPI

Desert Rose Medical Consultants,P.C.

  • Internal Medicine Physician
  • Avondale, AZ
National Provider Identifier
1629257977
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in AZ
Legal business name
DESERT ROSE MEDICAL CONSULTANTS,P.C.
Practice address
10320 W McDowell Rd
BLDG N1445
Avondale, AZ 85392-4863
Phone
(623) 547-2100
Fax
(623) 547-3005
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Veena Gulaya, MDNPI 1841283090
Title
President
Phone
(623) 547-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 207R00000X AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd
BLDG N1445
Avondale, AZ 85392-4863

Mailing address

10320 W McDowell Rd
BLDG N1445
Avondale, AZ 85392-4863
Phone (623) 547-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001271 AZ Part B Supplier - Clinic/Group Practice 1759271364 Receives reassigned benefits from 2 practitioners
Practice locations: Avondale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1020628Desert Rose Medical Consultants PC10320 W McDowell Rd, Ste N-1445, Avondale, AZ 85392Certificate of waiverDec 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1629257977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLDG N1445",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-547-2100",
            "fax_number": "623-547-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLDG N1445",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-547-2100",
            "fax_number": "623-547-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE MEDICAL CONSULTANTS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "GULAYA",
        "authorized_official_first_name": "VEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-547-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.