Individual provider Active NPI

Vishal Verma, M.D

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1750607933
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47318 Issued in AZ
Practice address
13350 N 94TH Dr Ste A101
Peoria, AZ 85381-4826
Phone
(623) 974-1500
Fax
(623) 933-3383
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101246485 VA
Internal Medicine Physician 207R00000X 47318 AZ Primary

Addresses

Primary practice location

13350 N 94TH Dr Ste A101
Peoria, AZ 85381-4826

Mailing address

15807 E Sunburst Dr
Fountain Hills, AZ 85268-4923

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
I20130610000752 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 9436282092 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101246485VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Family Medicine CurrentSince May 1, 2013 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Primacare Inc Internal Medicine CurrentSince May 8, 2025 Accepting new patients
4C Medical Group PLC CurrentSince May 1, 2013 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

2163 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 646-8123

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1750607933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15807 E SUNBURST DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 N 94TH DR STE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814826",
            "telephone_number": "623-974-1500",
            "fax_number": "623-933-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "VISHAL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "47318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.