Asda Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ASDA INTERNAL MEDICINE LLC

Practice address

9139 W Thunderbird Rd Ste 275
Peoria, AZ 85381-4922

Phone

(623) 900-5181

Fax

(623) 900-5290

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Avinashi Somasundaram Arun Kumar, MDNPI 1326375999

Title

Internist

Phone

(602) 402-9071

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avinashi Somasundaram Arunkumar, MD

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1326375999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1760249494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27119 N 64TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837423",
            "telephone_number": "602-402-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 275",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814922",
            "telephone_number": "623-900-5181",
            "fax_number": "623-900-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASDA INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "ARUN KUMAR",
        "authorized_official_first_name": "AVINASHI",
        "authorized_official_middle_name": "SOMASUNDARAM",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "602-402-9071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.