Individual provider Active NPI

Archana Nagarajan, M.D

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1881906733
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301097255 Issued in MI
Practice address
6565 E Greenway Pkwy Ste 100
Scottsdale, AZ 85254-2056
Phone
(803) 483-2004
Fax
(480) 348-3210
NPI assigned
Jul 8, 2010
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301097255 MI Primary

Addresses

Primary practice location

6565 E Greenway Pkwy Ste 100
Scottsdale, AZ 85254-2056

Mailing address

6565 E Greenway Pkwy Ste 100
Scottsdale, AZ 85254-2056
Phone (480) 348-3200

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
I20160907002194 AZ Practitioner - Family Practice 0749415818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

3815 E Bell Rd
Suite 2100
Phoenix, AZ 85032-2134
Phone (602) 726-8806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097255MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 16, 2016 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Sep 16, 2016 Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749

3815 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (480) 454-7350

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

6565 E Greenway Pkwy
Ste 100
Scottsdale, AZ 85254
Phone (480) 348-3200

Interoperability endpoints

  • Direct secure messaging: archana.nagarajan.1@600.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1881906733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "480-348-3200",
            "fax_number": "480-348-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "803-483-2004",
            "fax_number": "480-348-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJAN",
        "first_name": "ARCHANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.