NPIMap

Individual provider Active NPI

Jyothsna Talluri, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1689830911
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51830 Issued in AZ
Practice address
4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693
Phone
(480) 961-2303
NPI assigned
Aug 6, 2008
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51830 AZ Primary

Addresses

Primary practice location

4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693

Mailing address

1445 E Carob Dr
Gilbert, AZ 85298-0718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206002408 AZ Practitioner - Internal Medicine 3779761259 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Hospitalists, PLLCGroup PAC ID 0941290290, 50 clinicians

Practice addresses (Care Compare)

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (888) 488-7640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 5, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 5, 2023 Accepting new patients
Aia Hospitalists LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients
Encompass Health Rehabilitation Hospital of East Valley, LLC Past Accepting new patients
McLaren Flint Past Accepting new patients
4C Medical Group PLC Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1689830911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E CAROB DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487693",
            "telephone_number": "480-961-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLURI",
        "first_name": "JYOTHSNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "51830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.