Individual provider Active NPI

Arun D Sherma, MD

  • Cardiovascular Disease Physician
  • Lakeside, AZ
National Provider Identifier
1780685685
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
33509 Issued in AZ
Practice address
316 W White Mountain Blvd
Ste B
Lakeside, AZ 85929-7015
Phone
(928) 367-9958
Fax
(928) 367-9960
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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 33509 AZ
Cardiovascular Disease Physician 207RC0000X 33509 AZ Primary

Addresses

Primary practice location

316 W White Mountain Blvd
Ste B
Lakeside, AZ 85929-7015

Mailing address

PO Box 3799
Pinetop, AZ 85935-3799
Phone (928) 367-9958

Other identifiers 1

IdentifierTypeStateIssuer
919300MedicaidAZ

Other names 1

  • Arun Dasgupta Former name

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Care, P.C. Past Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1780685685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3799",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859353799",
            "telephone_number": "928-367-9958",
            "fax_number": "928-367-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W WHITE MOUNTAIN BLVD",
            "address_2": "STE B",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859297015",
            "telephone_number": "928-367-9958",
            "fax_number": "928-367-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMA",
        "first_name": "ARUN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33509",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "33509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919300",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUN",
            "last_name": "DASGUPTA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeside, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.