NPIMap

Individual provider Active NPI

Raj Kishore Mulpuri, MD

  • Pulmonary Disease Physician
  • Surprise, AZ
National Provider Identifier
1669460853
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
32853 Issued in AZ
Practice address
18731 N Reems Rd
#680
Surprise, AZ 85374
Phone
(623) 975-0592
Fax
(623) 675-0750
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 32853 AZ Primary

Addresses

Primary practice location

18731 N Reems Rd
#680
Surprise, AZ 85374

Mailing address

13634 N 93Rd Ave
#100
Peoria, AZ 85381
Phone (623) 933-0301

Other identifiers 2

IdentifierTypeStateIssuer
874455-01MedicaidAZ
874455MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000168 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8224016514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians
Sunrise Medical Management LLCGroup PAC ID 4880586437, 10 clinicians

Practice addresses (Care Compare)

13481 W McDowell Rd
Suite 200
Goodyear, AZ 85395-2720
Phone (480) 360-9092

13634 N 93Rd Ave
Suite 100
Peoria, AZ 85381-4915
Phone (623) 933-0301

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as group
Quality
71.19
Improvement activities
40
Cost
78.68

Merit-based Incentive Payment System (MIPS)

Final score
56.55 of 100Reported as group
Quality
87.14
Promoting interoperability
0
Improvement activities
20
Cost
76.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oximetry Incorporated CurrentSince Feb 27, 2024 Accepting new patients
Valley Sleep Physicians, Inc CurrentSince Jul 31, 2024 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients

Locations

13481 W McDowell Rd
Ste 200A
Goodyear, AZ 85395

13481 W McDowell Rd
Ste 200
Goodyear, AZ 85395
Phone (480) 360-9092

4555 E Inverness Ave
Ste 112
Mesa, AZ 85206
Phone (480) 361-0110

13203 N 103rd Ave
Ste I1-B
Sun City, AZ 85351
Phone (623) 876-6676

13203 N 103rd Ave
Ste H1
Sun City, AZ 85351
Phone (623) 972-5800

1790 E River Rd
Ste 130
Tucson, AZ 85718
Phone (480) 361-0110

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.

Hospital & facility affiliations 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669460853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "#100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-933-0301",
            "fax_number": "623-933-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18731 N REEMS RD",
            "address_2": "#680",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-975-0592",
            "fax_number": "623-675-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULPURI",
        "first_name": "RAJ",
        "middle_name": "KISHORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "32853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874455-01",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874455",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.