Hemanthkumar Athiraman, MD
Individual provider Active NPI Hospitalist Physician · Mesa, AZ
NPI 1821352345 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1821352345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 59908 (AZ)
- Practice address
- 1400 S Dobson Road
Attn Amanda Gump/Hospitalists
Mesa, AZ 85202 - Phone
- (480) 543-2034
- Fax
- (480) 543-2347
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 64.97
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.88
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802002041 | TX | Practitioner - Family Practice | 2961640800 | Reassigns benefits to 2 organizations |
| I20200420001207 | AZ | Practitioner - Hospitalist |
2961640800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062221 | IL | MD | Family Medicine Physician |
| 59908 | AZ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current |
Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current |
Accepting new patients | |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current |
Accepting new patients |
| Banner Desert Medical Center | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125062221 | IL | |
| Internal Medicine Physician | 207R00000X | 59908 | AZ | |
| Hospitalist Physician | 208M00000X | 59908 | AZ | Yes |
Addresses
Primary practice location
1400 S Dobson Road
Attn Amanda Gump/Hospitalists
Mesa, AZ 85202
Mailing address
1900 N Higley Road
Attn Amanda Gump/Hospitalists
Gilbert, AZ 85234
Phone (480) 543-2034
Other providers in Mesa, AZ
- At Home Care Inc.
- At the Moment Health, LLC
- Ahmad Atallah
- Athena in Home Care Inc
- Elizabeth Athens
- Lauren Amber Atkins
- Maria Stewart Atkins
- Atkinson Family Chiropractic, PC
- Bryan Curtis Atkinson
- Joshua R Atkinson
All providers in Mesa, AZ · Hospitalist Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.