Active NPI
Arundathi P. Narayanappa, P.A.
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2015
- Practice address
- 11034 N 23Rd Dr # 105B
Phoenix, AZ 85029-4743 - Phone
- (602) 639-0189
- NPI assigned
- May 27, 2006
- Last updated
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2015 | AZ | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Skin and Laser Therapy Institue, LTD | Current | Accepting new patients | |
| Arizona Skin and Laser Therapy Institute, LTD | Current | Accepting new patients | |
| Physician Group of Arizona Inc | Current | Accepting new patients | |
| Total Orthopedics,LLC | Past | Accepting new patients | |
| Shelly a Friedman | Past | Accepting new patients | |
| Advanced Dermatology of Arizona, PC | Past | Accepting new patients |
Locations
10238 E Hampton Ave
Ste 404
Mesa, AZ 85209
Phone (480) 771-7546
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
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/
Organizations & group practices 8
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.
-
- Dermatology Physician
- Show Low, AZ
- NPI 1740373257
-
dba Steward Medical Group of Arizona
- Specialist
- Phoenix, AZ
- NPI 1518137520
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1083066450
-
- Dermatology Physician
- Quartzsite, AZ
- NPI 1427506203
-
dba Steward Orthopedic and Sports Medicine
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1558901215
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1922484088
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1790983146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1679520522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E RAY RD",
"address_2": "SUITE #190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446094",
"telephone_number": "480-940-5420",
"fax_number": "480-940-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11034 N 23RD DR # 105B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294743",
"telephone_number": "602-639-0189"
}
],
"practiceLocations": [
{
"address_1": "4530 E Ray Rd",
"address_2": "Suite #190",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850446094",
"country_code": "US",
"telephone_number": "480-940-5420",
"fax_number": "480-940-5480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NARAYANAPPA",
"first_name": "ARUNDATHI",
"middle_name": "P.",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.