NPIMap

Individual provider Active NPI

Pallavi Bellamkonda, M.D.

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1871718486
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
56422 Issued in AZ
Practice address
500 W Thomas Rd Ste 480
Phoenix, AZ 85013-4239
Phone
(602) 406-1150
Fax
(602) 406-1159
NPI assigned
Apr 17, 2007
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 56422 AZ Primary
Cardiovascular Disease Physician 207RC0000X 26233 NE
Cardiovascular Disease Physician 207RC0000X MD-43846 IA
Internal Medicine Physician 207R00000X 2009021711 MO

Addresses

Primary practice location

500 W Thomas Rd Ste 480
Phoenix, AZ 85013-4239

Mailing address

3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212001720 AZ Practitioner - Cardiovascular Disease (Cardiology) 5092869032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

111 W Cedar LN
Suite a
Payson, AZ 85541-5417
Phone (928) 472-4675

500 W Thomas Rd
Suite 900B
Phoenix, AZ 85013-4224
Phone (602) 406-2323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009021711MOMDInternal Medicine Physician
56422AZMDCardiovascular Disease Physician
MD-43846IAMDCardiovascular Disease Physician
26233NEMDCardiovascular Disease Physician
R153111MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Apr 1, 2022 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 13, 2023 Accepting new patients
St Josephs Pathology Current Accepting new patients
Sjhmc Physician Services CurrentSince Sep 26, 2018 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Apr 1, 2022 Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Midwest Hospital Specialists, P.a. Internal Medicine Past Accepting new patients
Creighton University Cardiovascular Disease Past Accepting new patients
Creighton University Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 203
Avondale, AZ 85392
Phone (623) 907-4400

5601 W Eugie Ave
Ste 210
Glendale, AZ 85304
Phone (602) 843-1313

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

4540 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 497-2229

111 W Cedar Ln
Ste A
Payson, AZ 85541
Phone (928) 472-4675

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (602) 494-5040

3815 E Bell Rd
Ste 3300
Phoenix, AZ 85032
Phone (602) 867-2505

500 W Thomas Rd
Ste 480
Phoenix, AZ 85013
Phone (602) 234-0295

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

500 W Thomas Rd
Ste 750
Phoenix, AZ 85013
Phone (602) 406-1150

500 W Thomas Rd
Ste 800
Phoenix, AZ 85013
Phone (602) 406-1234

500 W Thomas Rd
Ste 900B
Phoenix, AZ 85013
Phone (602) 406-2323

6036 N 19th Ave
Ste 510
Phoenix, AZ 85015
Phone (602) 973-1113

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

14670 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 633-3824

File 56765
Los Angeles, CA 90074

Organizations & group practices 9

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

Hospital & facility affiliations 11

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1871718486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1001",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122716",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 480",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134239",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMKONDA",
        "first_name": "PALLAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "56422",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "26233",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-43846",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009021711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.