Individual provider Active NPI

Yessica Ramos Sachdeva, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1730496274
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45975 Issued in AZ
Practice address
616 E Southern Ave
Suite 103
Mesa, AZ 85204-4941
Phone
(602) 569-3999
Fax
(480) 569-3887
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 45975 AZ
Student in an Organized Health Care Education/Training Program 390200000X AZ
Internal Medicine Physician 207R00000X 45975 AZ Primary

Addresses

Primary practice location

616 E Southern Ave
Suite 103
Mesa, AZ 85204-4941

Mailing address

2201 W Fairview St
Ste 9
Chandler, AZ 85224-4704
Phone (602) 569-3999

Other identifiers 1

IdentifierTypeStateIssuer
724649MedicaidAZ

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
I20121114000382 AZ Practitioner - Internal Medicine 7810148103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Liver Health LLCGroup PAC ID 3274898010, 20 clinicians

Practice addresses (Care Compare)

2201 W Fairview St
Suite 9
Chandler, AZ 85224-4704
Phone (480) 470-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45975AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Liver Health, LLC CurrentSince Jul 1, 2021 Accepting new patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Desert Kidney Associates PLC PastSince Aug 1, 2015 Accepting new patients

Locations

2201 W Fairview St
Ste 9
Chandler, AZ 85224
Phone (480) 407-4000

3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011

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

15396 N 83rd Ave
Ste E
Peoria, AZ 85381
Phone (623) 241-9028

1601 N Swan Rd
Tucson, AZ 85712
Phone (520) 485-4000

Organizations & group practices 3

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1730496274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST",
            "address_2": "STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244704",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E SOUTHERN AVE",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044941",
            "telephone_number": "602-569-3999",
            "fax_number": "480-569-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "YESSICA",
        "middle_name": "RAMOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "45975",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.