Active NPI
Pushpa Mahalingam, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1780664193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14576
- Practice address
- 3805 E Bell Rd
Ste. 2100
Phoenix, AZ 85032-2105 - Phone
- (602) 404-5200
- Fax
- (602) 404-5228
- NPI assigned
- Jan 20, 2006
- Last updated
- Dec 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14576 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd
Ste. 2100
Phoenix, AZ 85032-2105
Mailing address
3805 E Bell Rd
Ste. 2100
Phoenix, AZ 85032-2105
Phone (602) 404-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172320 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14576 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1780664193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "STE. 2100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322105",
"telephone_number": "602-404-5200",
"fax_number": "602-404-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "STE. 2100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322105",
"telephone_number": "602-404-5200",
"fax_number": "602-404-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHALINGAM",
"first_name": "PUSHPA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "14576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172320",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.