NPIMap

Organization Active NPI

Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Sierra Vista, AZ
National Provider Identifier
1891933560
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHWEST KIDNEY INSTITUTE, PLC
Practice address
629 N. Highway #90 Byp
Suite 6
Sierra Vista, AZ 85635-2257
Phone
(520) 623-2642
Fax
(520) 623-6162
NPI assigned
Feb 3, 2009
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Gurdev Singh, M.D.NPI 1861486607
Title
VP of Finance
Phone
(480) 610-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X AZ Primary

Addresses

Primary practice location

629 N. Highway #90 Byp
Suite 6
Sierra Vista, AZ 85635-2257

Mailing address

2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3494
Phone (480) 610-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211001069 AZ Part B Supplier - Clinic/Group Practice 8224930987 Receives reassigned benefits from 115 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Prescott, AZ; Safford, AZ; San Tan Valley, AZ; Scottsdale, AZ; Sierra Vista, AZ; Sun City, AZ; Sun Lakes, AZ…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 11

Organizations listed as members of this organization in the National Provider Directory.

Locations

485 S Dobson Rd
Ste 105
Chandler, AZ 85224
Phone (480) 525-0201

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

617 N Humphreys St
Ste 102
Flagstaff, AZ 86001

16838 E Palisades Blvd
#100C
Fountain Hills, AZ 85268

16838 E Palisades Blvd
Ste 100C
Fountain Hills, AZ 85268

16838 E Palisades Blvd
Ste 152
Fountain Hills, AZ 85268

5884 S Hospital Dr
Globe, AZ 85501

14620 W Encanto Blvd
Ste 100
Goodyear, AZ 85395

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1450 S Dobson Rd
Ste 309
Mesa, AZ 85202
Phone (480) 655-7141

215 S Power Rd
Ste 218
Mesa, AZ 85206
Phone (480) 325-5885

2525 W Carefree Hwy
#8
Phoenix, AZ 85085

2538 E University Dr
Ste 110
Phoenix, AZ 85034
Phone (480) 969-8714

2620 N 3rd St
Ste 100
Phoenix, AZ 85004
Phone (602) 277-1558

6707 N 19th Ave
Ste 109
Phoenix, AZ 85015
Phone (602) 371-0188

9225 N 3rd St
Phoenix, AZ 85020
Phone (602) 216-0201

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

629 N Highway 90 Byp
Ste G
Sierra Vista, AZ 85635

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

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

395 N Silverbell Rd
Ste 209
Tucson, AZ 85745

520 Rose Ln
#B
Wickenburg, AZ 85390
Phone (928) 668-1836

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1891933560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N. HIGHWAY #90 BYP",
            "address_2": "SUITE 6",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352257",
            "telephone_number": "520-623-2642",
            "fax_number": "520-623-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURDEV",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "480-610-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.