Rajiv Siddaramu, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

37181 Issued in AZ

Practice address

4742 N 24TH St Ste 300
Phoenix, AZ 85016-9107

Phone

(602) 753-8120

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rajiv Siddaramu MD PLLCGroup PAC ID 9638480593, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Abrazo Central Campus Hospital, Phoenix, AZ, CCN 030030
• Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
• Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rajiv.siddaramu.p4@direct.caremorewest.nextgenshare.com

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.

• Rajiv Siddaramu MD PLLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1467849422
  Medicare reassignment Care Compare group Authorized official
• Blupeak Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1114759057
  NPD Authorized official
• Hospice at Heart to Heart Inc

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1932791761
  NPD
• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  NPD (past)
• Quick Med Center LLC

  • Urgent Care Clinic/Center
  • Glendale, AZ
  • NPI 1912379090
  NPD (past)

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

• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Health

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 1 Inc

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1326022732
  Care Compare affiliation
• VHS of Arrowhead, Inc

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation
• VHS of Phoenix Inc

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1477537363
  Care Compare affiliation

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1699976522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD # 224",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "602-753-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 N 24TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169107",
            "telephone_number": "602-753-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064622",
            "country_code": "US",
            "telephone_number": "602-865-2629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Thomas Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134221",
            "country_code": "US",
            "telephone_number": "602-406-4433",
            "fax_number": "602-512-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134409",
            "country_code": "US",
            "telephone_number": "602-406-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDARAMU",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "37181",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "27432",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "37181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie C Sichler, MC, LPC
• Chris Sichula
• Huseyin Sicim, MD
• Kristina Sicora
• Gamal F Sidarous, MD
• Mehtab Fatima Siddiky, M.D
• Fatima Siddiqi, AGACNP
• Rebecca Siddiqui
• Ryan Sidebottom, FNP
• Lawrence Mark Sideman, PH.D.

• Hospice and Palliative Medicine (Family Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.