NPIMap

Organization Active NPI

Southwest Kidney Institute Scottsdale LLC

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1902231012
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC
Practice address
337 E Coronado Rd
Suite 201
Phoenix, AZ 85004-1580
Phone
(602) 252-8081
Fax
(602) 252-1520
NPI assigned
Sep 9, 2013
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Dr. 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 NU Primary

Addresses

Primary practice location

337 E Coronado Rd
Suite 201
Phoenix, AZ 85004-1580

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 610-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131101000457 AZ Part B Supplier - Clinic/Group Practice 3577798313 Receives reassigned benefits from 65 practitioners
Practice locations: Fountain Hills, AZ; Tempe, AZ; Sun Lakes, AZ; Scottsdale, AZ; Gilbert, AZ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

2141 E Warner Rd
Ste 102
Tempe, AZ 85284

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

Practitioners & affiliated clinicians

Practitioners 66

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 66

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1902231012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E CORONADO RD",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041580",
            "telephone_number": "602-252-8081",
            "fax_number": "602-252-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.