Active NPI
Rama Devineni, MD
- Internal Medicine Physician
- Chandler, AZ
National Provider Identifier
1750312484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29426
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4011641 | Other | AZ | HCFA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29426 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Internal Medicine | Current | 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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.