Southwest Internal Medicine,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22263 Issued in AZ

Legal business name

SOUTHWEST INTERNAL MEDICINE,LLC

Practice address

6242 E Arbor Ave Ste 106
Mesa, AZ 85206-1309

Phone

(480) 889-2165

Fax

(480) 889-2164

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Monica Abrante, M.DNPI 1295899359

Title

Physician

Phone

(480) 889-2165

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Monica Abrante, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1295899359

  AZ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1760660815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "480-889-2165",
            "fax_number": "480-889-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "480-889-2165",
            "fax_number": "480-889-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INTERNAL MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "ABRANTE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-889-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "22263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213695",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southwest Kidney Davita Dialysis Partners LLC
• Southwest Kidney Dialysis, LLC
• Southwest Medical Associates LTD.

• All providers in Mesa, AZ
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.