Sip Home Systems - Mesa LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SIP HOME SYSTEMS - MESA LLC

Practice address

24TH at Camelback, 2375 E. Camelback Rd.
Suite 600
Phoenix, AZ 85016

Phone

(623) 374-7774

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Kenny Mai

Title

MD

Phone

(623) 374-7774

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1780215681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24TH AT CAMELBACK, 2375 E. CAMELBACK RD.",
            "address_2": "SUITE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24TH AT CAMELBACK, 2375 E. CAMELBACK RD.",
            "address_2": "SUITE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "623-374-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIP HOME SYSTEMS - MESA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "623-374-7774"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@sipmd.com",
            "affiliation": "N",
            "address_1": "24th At Camelback, 2375 E. Camelback Rd.",
            "address_2": "Suite 600",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kishan Sinojia
• Renee Elizabeth Sinram
• Natasha Sioda
• Paul W Sion, RPH
• Sip Home Systems - Mesa LLC
• Sip Home Systems - Sun City LLC
• Michelle Vita Sipe, M.D.
• Keri Sipek, M.A.
• Brenda Lue Sipes, M.D.
• Jack Owens Sipperley, MD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.