Active NPI
Gateway Pediatrics PLLC
- Health Service Clinic/Center
- Chandler, AZ
National Provider Identifier
1861449357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- GATEWAY PEDIATRICS PLLC
- Practice address
- 655 S Dobson Rd
B218
Chandler, AZ 85224-5667 - Phone
- (480) 963-6668
- Fax
- (480) 963-6669
- NPI assigned
- May 28, 2006
- Last updated
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sudha Chandrasekhar, MD
- Title
- Owner
- Phone
- (480) 963-6668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
655 S Dobson Rd
B218
Chandler, AZ 85224-5667
Mailing address
655 S Dobson Rd
B218
Chandler, AZ 85224-5667
Phone (480) 963-6668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649494 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Chandler, AZ
- NPI 1104824531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1861449357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "B218",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-963-6668",
"fax_number": "480-963-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "B218",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-963-6668",
"fax_number": "480-963-6669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "CHANDRASEKHAR",
"authorized_official_first_name": "SUDHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-963-6668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649494",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.