Organization Active NPI

Supai LLC

  • Hospitalist Physician
  • Peoria, AZ
National Provider Identifier
1679051171
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SUPAI LLC
Practice address
13350 N 94TH Dr Ste A101
Peoria, AZ 85381-4826
Phone
(623) 933-1010
Fax
(623) 933-3383
NPI assigned
Aug 6, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Dr. Hitpreet Sanghera, MDNPI 1497827497
Title
Office Manager
Phone
(623) 933-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

13350 N 94TH Dr Ste A101
Peoria, AZ 85381-4826

Mailing address

13350 N 94TH Dr Ste A101
Peoria, AZ 85381-4826
Phone (623) 933-1010

National Provider Directory

National Provider Directory

Locations

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1679051171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR STE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814826",
            "telephone_number": "623-933-1010",
            "fax_number": "623-933-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR STE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814826",
            "telephone_number": "623-933-1010",
            "fax_number": "623-933-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "SANGHERA",
        "authorized_official_first_name": "HITPREET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-933-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.