Individual provider Active NPI

Krushangi Trivedi, FNP

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1689150724
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP11313 Issued in AZ
Practice address
1343 N Alma School Rd Ste 205
Chandler, AZ 85224-5903
Phone
(480) 963-1853
NPI assigned
Jul 12, 2018
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X AP11313 AZ
Geriatric Medicine (Family Medicine) Physician 207QG0300X AP11313 AZ
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AP11313 AZ Primary

Addresses

Primary practice location

1343 N Alma School Rd Ste 205
Chandler, AZ 85224-5903

Mailing address

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224-5901
Phone (480) 963-1853

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914000811 AZ Practitioner - Nurse Practitioner 8527318401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

1343 N Alma School Rd
Suite 205
Chandler, AZ 85224-5903
Phone (480) 963-1853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP11313AZMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenician Medical Center, Inc Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Integrated Healthcare Mobile Solutions, LLC Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients

Locations

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

3336 E Chandler Heights Rd
Ste 1
Gilbert, AZ 85298

3336 E Chandler Heights Rd
Ste 119
Gilbert, AZ 85298
Phone (480) 279-4790

875 N Greenfield Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 897-2727

201 W Guadalupe Rd
Ste 316
Gilbert, AZ 85233

201 W Guadalupe Rd
Ste 200
Gilbert, AZ 85233
Phone (480) 219-6631

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1689150724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245901",
            "telephone_number": "480-963-1853",
            "fax_number": "480-963-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD STE 205",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245903",
            "telephone_number": "480-963-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KRUSHANGI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "AP11313",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "AP11313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP11313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.