Individual provider Active NPI

Vanitha Vasudevan, M.D

  • Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1639313315
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
77874 Issued in AZ
Practice address
8415 N Pima Rd Ste 280
Scottsdale, AZ 85258-4488
Phone
(480) 587-6520
Fax
(480) 882-5856
NPI assigned
Apr 27, 2009
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME 119341 FL
Surgery Physician 208600000X 77874 AZ Primary

Addresses

Primary practice location

8415 N Pima Rd Ste 280
Scottsdale, AZ 85258-4488

Mailing address

8415 N Pima Rd Ste 280
Scottsdale, AZ 85258-4488
Phone (480) 587-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140930003128 FL Practitioner - General Surgery 7719107408 Reassigns benefits to 3 organizations
I20260120001385 AZ Practitioner - General Surgery 7719107408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hsa Florida Physician Group IncGroup PAC ID 6204359987, 19 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

7150 W 20TH Ave
Suite 615
Hialeah, FL 33016-5511
Phone (305) 820-6657

8415 N Pima Rd
Suite 280
Scottsdale, AZ 85258-4488
Phone (480) 587-6520

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77874AZMDSurgery Physician
ME 119341FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Surgery CurrentSince Aug 1, 2021 Accepting new patients
Hsa Florida Physician Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Jan 1, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Tenet Florida Physician Services LLC Surgery CurrentSince Sep 15, 2014 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Sep 15, 2014 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 1, 2026 Accepting new patients
Honorhealth Ambulatory Surgery Past Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

575 W Chandler Blvd
Ste 120
Chandler, AZ 85225
Phone (480) 245-4425

10238 E Hampton Ave
Ste 205
Mesa, AZ 85209
Phone (480) 354-6463

10238 E Hampton Ave
Ste 305
Mesa, AZ 85209
Phone (480) 257-2647

19646 N 27th Ave
Ste 407
Phoenix, AZ 85027
Phone (602) 786-0720

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

8415 N Pima Rd
Ste 280
Scottsdale, AZ 85258
Phone (480) 245-4425

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

7100 W 20th Ave
Ste 214
Hialeah, FL 33016
Phone (215) 531-2848

7150 W 20th Ave
Ste 615
Hialeah, FL 33016
Phone (305) 820-6657

4900 W Oakland Park Blvd
Ste 101
Lauderdale Lakes, FL 33313
Phone 30539861006186

2601 SW 37th Ave
Ste 901
Miami, FL 33133
Phone (305) 285-7282

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1639313315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584488",
            "telephone_number": "480-587-6520",
            "fax_number": "480-882-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584488",
            "telephone_number": "480-587-6520",
            "fax_number": "480-882-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "VANITHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 119341",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "77874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.