Organization Active NPI

Az Internal Medicine PLLC

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1679518906
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AZ INTERNAL MEDICINE PLLC
Practice address
3920 S Alma School Rd Ste 8
Chandler, AZ 85248-4511
Phone
(480) 855-8700
Fax
(480) 855-8701
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Anupa Ashar, MDNPI 1235170093
Title
Owner
Phone
(480) 855-8700

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 Primary

Addresses

Primary practice location

3920 S Alma School Rd Ste 8
Chandler, AZ 85248-4511

Mailing address

3920 S Alma School Rd Ste 8
Chandler, AZ 85248-4511
Phone (480) 855-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000278 AZ Part B Supplier - Clinic/Group Practice 4486650215 Receives reassigned benefits from 2 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

3920 S Alma School Rd
Ste 8
Chandler, AZ 85248
Phone (480) 613-6526

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1679518906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S ALMA SCHOOL RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484511",
            "telephone_number": "480-855-8700",
            "fax_number": "480-855-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S ALMA SCHOOL RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484511",
            "telephone_number": "480-855-8700",
            "fax_number": "480-855-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "ASHAR",
        "authorized_official_first_name": "ANUPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-855-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.