Individual provider Active NPI

Sirisha Vadali, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1699181321
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
60302 Issued in AZ
Practice address
3534 E Glenrosa Ave
Phoenix, AZ 85018-3902
Phone
(240) 475-4982
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 60302 AZ Primary

Addresses

Primary practice location

3534 E Glenrosa Ave
Phoenix, AZ 85018-3902

Mailing address

3534 E Glenrosa Ave
Phoenix, AZ 85018-3902
Phone (240) 475-4982

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825002315 AZ Practitioner - Cardiovascular Disease (Cardiology) 7113143439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

16427 N Scottsdale Rd
Suite 100
Scottsdale, AZ 85254-8197
Phone (480) 718-5072

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Nov 21, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 21, 2022 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

4444 N 32nd St
Ste 120
Phoenix, AZ 85018
Phone (480) 718-5072

9003 E Shea Blvd
Ste Hg
Scottsdale, AZ 85260
Phone (480) 323-4973

16427 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85254
Phone (480) 718-5072

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7373 N Scottsdale Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 718-5072

Interoperability endpoints

  • Direct secure messaging: svadali494692@direct.honorhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1699181321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 E GLENROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183902",
            "telephone_number": "240-475-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 E GLENROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183902",
            "telephone_number": "240-475-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADALI",
        "first_name": "SIRISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "60302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.