Individual provider Active NPI

Rama Devineni, MD

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1750312484
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29426 Issued in AZ
Practice address
5950 S Cooper Rd Ste 4
Chandler, AZ 85249-2221
Phone
(480) 895-3777
Fax
(480) 895-3731
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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 29426 AZ Primary

Addresses

Primary practice location

5950 S Cooper Rd Ste 4
Chandler, AZ 85249-2221

Mailing address

5950 S Cooper Rd Ste 4
Chandler, AZ 85249-2221
Phone (480) 895-3777

Other identifiers 1

IdentifierTypeStateIssuer
4011641OtherAZHCFA

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
I20050427000889 AZ Practitioner - Internal Medicine 3173562386 Reassigns benefits to 1 organization
Practice locations: Chandler, AZ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29426AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

250 W Chandler Heights Rd
Ste 300
Chandler, AZ 85248

5950 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 758-4998

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1750312484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S COOPER RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492221",
            "telephone_number": "480-895-3777",
            "fax_number": "480-895-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S COOPER RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492221",
            "telephone_number": "480-895-3777",
            "fax_number": "480-895-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINENI",
        "first_name": "RAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCFA",
            "identifier": "4011641",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.