Individual provider Active NPI

Veeresh Moodabagil, MD

  • Internal Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1902853005
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26014 Issued in AZ
Practice address
1800 E Florence Blvd
Casa Grande, AZ 85222-5303
Phone
(520) 316-9486
Fax
(520) 836-4429
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 26014 AZ Primary

Addresses

Primary practice location

1800 E Florence Blvd
Casa Grande, AZ 85222-5303

Mailing address

1656 E Nighthawk Way
Phoenix, AZ 85048-9418
Phone (520) 251-1293

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
I20040303000566 AZ Practitioner - Internal Medicine 6608763636 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26014AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Maricopa Family Health Center LLC PastSince Nov 1, 2006 Accepting new patients
Gerald Muthu, LLC PastSince Jun 1, 2012 Accepting new patients
Dr. Franklin H Baroi, PC Past Accepting new patients
Pioneer Medical Group PLLC Internal Medicine Past Accepting new patients

Locations

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1902853005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 E NIGHTHAWK WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489418",
            "telephone_number": "520-251-1293",
            "fax_number": "520-836-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225303",
            "telephone_number": "520-316-9486",
            "fax_number": "520-836-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODABAGIL",
        "first_name": "VEERESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.