Individual provider Active NPI

Roshni M Kundranda, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1700955838
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41614 Issued in AZ
Practice address
8901 E Raintree Dr Ste 150
Scottsdale, AZ 85260-7110
Phone
(480) 733-7600
Fax
(602) 805-2816
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 41614 AZ Primary

Addresses

Primary practice location

8901 E Raintree Dr Ste 150
Scottsdale, AZ 85260-7110

Mailing address

8901 E Raintree Dr Ste 150
Scottsdale, AZ 85260-7110
Phone (480) 733-7600

Other identifiers 1

IdentifierTypeStateIssuer
443612MedicaidAZ

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
I20141029000137 AZ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8224036462 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866

8901 E Raintree Dr
Suite 150
Scottsdale, AZ 85260-7110
Phone (480) 733-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 18, 2019 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 18, 2019 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Dec 6, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Sjhmc Physician Services CurrentSince Aug 10, 2009 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Banner -- University Primary Care Physicians LLC Past Accepting new patients

Locations

13640 N Plaza del Rio Blvd
#210
Peoria, AZ 85381

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

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

8901 E Raintree Dr
Ste 150
Scottsdale, AZ 85260
Phone (480) 733-7600

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

File 56765
Los Angeles, CA 90074

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1700955838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 E RAINTREE DR STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607110",
            "telephone_number": "480-733-7600",
            "fax_number": "602-805-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 E RAINTREE DR STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607110",
            "telephone_number": "480-733-7600",
            "fax_number": "602-805-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDRANDA",
        "first_name": "ROSHNI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "41614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443612",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.