Arundathi P. Narayanappa, P.A.
Individual provider Active NPI Physician Assistant · Phoenix, AZ
NPI 1679520522 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1679520522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2015 (AZ)
- Practice address
- 11034 N 23Rd Dr # 105B
Phoenix, AZ 85029-4743 - Phone
- (602) 639-0189
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823001035 | AZ | Practitioner - Physician Assistant | 5496786089 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Arizona Inc | Current |
Accepting new patients | |
| Arizona Skin and Laser Therapy Institue, LTD | Current |
Accepting new patients | |
| Arizona Skin and Laser Therapy Institute, LTD | Current |
Accepting new patients | |
| Advanced Dermatology of Arizona, PC | Past |
Accepting new patients | |
| Shelly a Friedman | Past | Accepting new patients | |
| Total Orthopedics,LLC | Past | Accepting new patients |
Locations
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
10238 E Hampton Ave
Ste 404
Mesa, AZ 85209
Phone (480) 771-7546
2224 W Northern Ave
Ste D300
Phoenix, AZ 85021
Phone (602) 277-1449
4530 E Ray Rd
Ste 190
Phoenix, AZ 85044
Phone (480) 785-0305
4835 E Cactus Rd
Ste 155
Scottsdale, AZ 85254
Phone (602) 996-3050
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2015 | AZ | Yes |
Addresses
Primary practice location
11034 N 23Rd Dr # 105B
Phoenix, AZ 85029-4743
Mailing address
4530 E Ray Rd
Suite #190
Phoenix, AZ 85044-6094
Phone (480) 940-5420
Other practice location 1
4530 E Ray Rd
Suite #190
Phoenix, AZ 85044-6094
Phone (480) 940-5420
Other providers in Phoenix, AZ
- Udaini Narasimhan
- Ashima Narayan
- Ram Narendra Narayan
- Vinodh Narayanan
- Anand Venkatesh Narayanappa
- Roxanne Nardecchia
- Aidan James Nardelli
- Taylor Narducci
- Narendra Chauhan,MD.,PLLC
- Srihari Gurudev Narendra
All providers in Phoenix, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.