Individual provider Active NPI

Srinivasa R Palnati, MD

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1881688992
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26442 Issued in AZ
Practice address
14678 N del Webb Blvd
Sun City, AZ 85351-2137
Phone
(623) 933-8289
Fax
(623) 933-2596
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 26442 AZ Primary

Addresses

Primary practice location

14678 N del Webb Blvd
Sun City, AZ 85351-2137

Mailing address

14678 N del Webb Blvd
Sun City, AZ 85351-2137
Phone (623) 933-8289

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
I20040714001456 AZ Practitioner - Internal Medicine 0042299018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxwell GroupGroup PAC ID 3870570468, 10 clinicians

Practice addresses (Care Compare)

14678 N del Webb Blvd
Sun City, AZ 85351-2137
Phone (623) 933-8289

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Angels Care Home Health of Beech Home health agency, Sun City West, AZ, CCN 037413
  • Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • 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

State licenses

LicenseStateTypeSpecialty
26442AZMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxwell Group Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

14678 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 933-8289

Organizations & group practices 2

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 6

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1881688992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14678 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-933-8289",
            "fax_number": "623-933-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14678 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-933-8289",
            "fax_number": "623-933-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALNATI",
        "first_name": "SRINIVASA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.