Individual provider Active NPI

Gurdev Singh, MD

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1861486607
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34031 Issued in AZ
Practice address
18301 N 79TH Ave Ste G190
Glendale, AZ 85308-6093
Phone
(602) 932-8597
Fax
(602) 848-4696
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34031 AZ
Internal Medicine Physician 207R00000X 34031 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave Ste G190
Glendale, AZ 85308-6093

Mailing address

18301 N 79TH Ave Ste G190
Glendale, AZ 85308-6093
Phone (602) 932-8597

Other identifiers 1

IdentifierTypeStateIssuer
938152MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000344 AZ Practitioner - NephrologyPractitioner - Internal Medicine 0749252369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Ekonmedical LLCGroup PAC ID 3870939531, 2 clinicians
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

18301 N 79TH Ave
Suite G190
Glendale, AZ 85308-6093
Phone (602) 932-8597

7362 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-5028
Phone (602) 843-5455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Jul 15, 2007 Accepting new patients
Ekonmedical LLC Internal Medicine CurrentSince Feb 8, 2024 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Jul 15, 2007 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Jan 6, 2014 Accepting new patients
Desert Rocks Dialysis LLC PastSince Nov 19, 2012 Accepting new patients

Locations

18301 N 79th Ave
Ste G190
Glendale, AZ 85308
Phone (602) 932-8597

3090 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (602) 843-8426

13943 N 91st Ave
Ste H101
Peoria, AZ 85381
Phone (623) 977-1331

7362 W Thunderbird Rd
Peoria, AZ 85381
Phone (602) 843-5455

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

2525 W Carefree Hwy
Phoenix, AZ 85085
Phone (602) 840-0681

19636 N 27th Ave
Ste 206
Phoenix, AZ 85027
Phone (602) 788-0088

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

10503 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 832-5349

13830 W Camino del Sol
Ste 160
Sun City West, AZ 85375
Phone (923) 972-3116

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

1100 E University Dr
Ste 102
Tempe, AZ 85288
Phone (480) 610-6152

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

1845 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 329-8298

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIDDD/Endpoint/ACIDDD

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1861486607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "602-932-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "602-932-8597",
            "fax_number": "602-848-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURDEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "34031",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "938152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.