Individual provider Active NPI

Rama Vasireddy, M. D.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1871606673
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28052 Issued in AZ
Practice address
6501 E Greenway Pkwy Ste 160
Scottsdale, AZ 85254-2069
Phone
(480) 948-9903
Fax
(480) 998-5887
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28052 AZ Primary

Addresses

Primary practice location

6501 E Greenway Pkwy Ste 160
Scottsdale, AZ 85254-2069

Mailing address

9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583
Phone (480) 455-3000

Other identifiers 1

IdentifierTypeStateIssuer
497950MedicaidAZ

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
I20051104000258 AZ Practitioner - Internal Medicine 6305864760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Practice addresses (Care Compare)

8041 N Black Canyon Hwy
Phoenix, AZ 85021-4876
Phone (602) 249-0115

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 10, 2023 Accepting new patients
4C Medical Group PLC Family Medicine Current Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 10, 2023 Accepting new patients
4C Medical Group PLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

600 S Dobson Rd
Ste D27
Chandler, AZ 85224
Phone (480) 496-0000

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

1107 E Bell Rd
Ste 3
Phoenix, AZ 85022

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • Direct secure messaging: rvasireddy114616@westdirect.optum.com

Organizations & group practices 4

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 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1871606673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542069",
            "telephone_number": "480-948-9903",
            "fax_number": "480-998-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASIREDDY",
        "first_name": "RAMA",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497950",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.